AMY WILSON
NPI 1174965446
Speech-Language Pathologist in Springfield, IL
About Amy Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY WILSON (NPI 1174965446) is an individual speech-language pathologist provider in Springfield, Illinois, licensed in Illinois (146.011506) and active in the NPI registry since July 2013.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28209
- Reassigned Medicare billing, South Carolina enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62702
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 Amy Wilson's NPI number?
The NPI number for Amy Wilson is 1174965446. It was assigned to this individual provider in the NPPES registry on July 26, 2013.
Where is Amy Wilson located?
Amy Wilson practices at 2120 West Washington Street, Springfield, IL 62702. The listed phone number is (217) 793-4880.
What is Amy Wilson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Amy Wilson enrolled in Medicare?
Yes. Amy Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wilson reassigns Medicare benefits to Collective Therapy Corp. (Charlotte, NC). 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 Amy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Wilson was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Amy Wilson · NPI 1174965446
Speech-Language Pathologist provider in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since July 26, 2013.
## Identity
- **NPI:** 1174965446 (Entity type: Individual)
- **Enumerated:** July 26, 2013
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 146.011506 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2120 WEST WASHINGTON STREET, Springfield, IL 62702
- **Phone:** (217) 793-4880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Collective Therapy Corp. (NPI 1396380911, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1174965446) · Data from the CMS NPPES public registry.