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DANIA ALEXA WILSON NP
NPI 1164856035
Nurse Practitioner - Adult Health in New London, CT

Active since August 28, 2013PECOS EnrolledAccepts Medicare Assignment
194 HOWARD ST, NEW LONDON, CT 06320(860) 444-4737(860) 865-2375 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2019, Dec 4, 2015 (2 updates tracked since 2015).

About Dania Alexa Wilson Np NPPES

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

DANIA ALEXA WILSON NP (NPI 1164856035) is an individual adult health provider in New London, Connecticut, licensed in Rhode Island (APRN01341) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and maintains a secondary practice location in Westerly.

NPPES Registry Identity

NPI1164856035
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDANIA ALEXA WILSONCredential: NP
Location Address194 HOWARD STNew London, CT 06320-5544
Mailing Address194 Howard StNew London, CT 06320-5544 · (860) 444-4737 · Fax (860) 865-2375
Phone(860) 444-4737
Fax(860) 865-2375
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 28, 2013
Last NPPES UpdateApril 27, 20202 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
✔ NPI 1164856035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in RI · APRN01341
194 HOWARD ST, New London, CT 06320
Open in Google Maps ↗

Secondary Practice Location 1

Location 145 Wells St Ste 104Westerly, RI 02891-2927 · Phone (860) 444-4737 · Fax (860) 865-2375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dania Alexa Wilson Np 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 ID6709001860
PECOS Enrollment IDI20150417000056, I20200226001168
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.

Medicare Billing Reassignment

Medicare enrollment records show Dania Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mill Hill Medical Consultants Inc
44 mi
Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut and Rhode Island enrollments
  • Medicare enrollment name: Northeast Medical Group Inc
  • Also billed through NPI 1043278351 (Rhode Island)
  • 1,824 clinicians in this Medicare group
NPI 1952624769 (203) 688-4741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
157 services111 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
140 services102 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
106 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services25 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers15 claims59 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims28 services$0.86 avg. paid by Medicare
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
13 suppliers165 claims165 services$179.27 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
4 suppliers11 claims11 services$180.68 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.

DR. ROSHANAK BAGHERI MD
Internal Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-0282
LUCINDA CAVANAUGH APRN
Nurse Practitioner (Family)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 771-4960
WILTON CRAIG CALDERON D.O.
Family Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366
DAVID ALLEN KERNS JR. PA-C
Physician Assistant
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-7907
JASON LEE THARPE PAC
Physician Assistant (Surgical)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0564
DR. DAVID FRANK REISFELD M.D.
Surgery
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366
DR. SAMUEL L DENGLER M.D.
Internal Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
MS. SUSAN LAW MITCHELL RDN
Dietitian, Registered
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737

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 Dania Wilson's NPI number?

The NPI number for Dania Wilson is 1164856035. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Dania Wilson located?

Dania Wilson practices at 194 Howard St, New London, CT 06320. The listed phone number is (860) 444-4737.

What is Dania Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dania Wilson enrolled in Medicare?

Yes. Dania 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.

Which organization bills Medicare for Dania Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dania Wilson reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dania Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dania Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Dania 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 Dania Wilson affiliated with any hospitals?

According to CMS data, Dania Wilson is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Dania Wilson was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.