MADELEINE R. WILSON MD
NPI 1154981033
Family Medicine in Lincoln, NE

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
4600 VALLEY RD STE 200, LINCOLN, NE 68510(402) 483-4571(402) 483-5633 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2021, Jun 13, 2019 (2 updates tracked since 2019).

About Madeleine R. Wilson Md NPPES

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

MADELEINE R. WILSON MD (NPI 1154981033) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (TEP8534) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Cherry County Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154981033
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADELEINE R. WILSONCredential: MD
Location Address4600 VALLEY RD STE 200Lincoln, NE 68510-4882
Mailing Address4600 Valley Rd Ste 200Lincoln, NE 68510-4882 · (402) 483-4571 · Fax (402) 483-5633
Fax(402) 483-5633
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1154981033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · TEP8534
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4600 VALLEY RD STE 200, Lincoln, NE 68510

Other Identifiers 1

Medicaid470553011-00NE

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

Madeleine R. Wilson Md 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 ID9638409592
PECOS Enrollment IDI20210107001546
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cherry County Hospital

Critical Access Hospitals · Valentine, NE
OwnershipGovernment - Local
CMS Certification Number281344
Location510 North Green StValentine, NE 69201 · Cherry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$184.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510

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 Madeleine Wilson's NPI number?

The NPI number for Madeleine Wilson is 1154981033. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Madeleine Wilson located?

Madeleine Wilson practices at 4600 Valley Rd Ste 200, Lincoln, NE 68510. The listed phone number is (402) 483-4571.

What is Madeleine Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madeleine Wilson enrolled in Medicare?

Yes. Madeleine 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 Madeleine Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Madeleine 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.

Is Madeleine Wilson affiliated with any hospitals?

According to CMS data, Madeleine Wilson is affiliated with Cherry County Hospital.

When was this NPI record last updated?

The NPPES record for Madeleine Wilson was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.