NICOLE WILSON OD
NPI 1154973220
Optometrist in Saint Peters, MO

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
200 COSTCO WAY, SAINT PETERS, MO 63376(636) 970-4007(314) 269-0325 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2022, Jul 31, 2019, Jul 9, 2019 (3 updates tracked since 2019).

About Nicole Wilson Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE WILSON OD (NPI 1154973220) is an individual optometrist in Saint Peters, Missouri, licensed in Missouri (2019019708) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2017).

NPPES Registry Identity

NPI1154973220
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICOLE WILSONCredential: OD
Location Address200 COSTCO WAYSaint Peters, MO 63376-4385
Mailing Address200 Costco WaySaint Peters, MO 63376-4385 · (636) 970-4007 · Fax (314) 269-0325
Fax(314) 269-0325
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2017
Enumeration DateJuly 9, 2019
Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
NPI 1154973220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MO · 2019019708 Licensed in IL · 046.011340L
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
200 COSTCO WAY, Saint Peters, MO 63376

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Wilson Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395073894
PECOS Enrollment IDI20190821004110
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
200 COSTCO WAY
SAINT PETERS, MO 63376
Hearing Aid Equipment
200 COSTCO WAY
SAINT PETERS, MO 63376
Eyewear Supplier
200 COSTCO WAY
SAINT PETERS, MO 63376
Clinic/Center (Primary Care)
200 COSTCO WAY
SAINT PETERS, MO 63376
Pharmacist
200 COSTCO WAY
SAINT PETERS, MO 63376
Optometrist
200 COSTCO WAY
SAINT PETERS, MO 63376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1154973220. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Nicole Wilson located?

Nicole Wilson practices at 200 Costco Way, Saint Peters, MO 63376. The listed phone number is (636) 970-4007.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicole Wilson enrolled in Medicare?

Yes. Nicole Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Wilson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Insurance Company list Nicole Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.