MRS. MILLICENT WILSON RD, LD
NPI 1184340747
Dietitian, Registered in Buda, TX
About Mrs. Millicent Wilson Rd, Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MILLICENT WILSON RD, LD (NPI 1184340747) is an individual dietitian, registered in Buda, Texas, licensed in Texas (DT83426) and active in the NPI registry since October 2022.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Millicent Wilson Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Millicent Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kyle, TX 78640
- Reassigned Medicare billing, Texas enrollment
- 3 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.
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 Millicent Wilson's NPI number?
The NPI number for Millicent Wilson is 1184340747. It was assigned to this individual provider in the NPPES registry on October 17, 2022.
Where is Millicent Wilson located?
Millicent Wilson practices at 1002 Laurel Cv, Buda, TX 78610. The listed phone number is (936) 615-8355.
What is Millicent Wilson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Millicent Wilson enrolled in Medicare?
Yes. Millicent Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Millicent Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Millicent Wilson reassigns Medicare benefits to Family Wings Consulting, LLC (Kyle, TX). 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 Millicent Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Millicent Wilson accept?
Health plans from Moda Health Plan, Inc. list Millicent 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 Millicent Wilson was last updated on October 17, 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.
# Mrs. Millicent Wilson, RD, LD · NPI 1184340747
Dietitian, Registered provider in Buda, Texas. Individual provider, active in the CMS NPPES registry since October 17, 2022.
## Identity
- **NPI:** 1184340747 (Entity type: Individual)
- **Enumerated:** October 17, 2022
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DT83426 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1002 LAUREL CV, Buda, TX 78610-2872
- **Phone:** (936) 615-8355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Family Wings Consulting, LLC (NPI 1780244780, Kyle, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184340747) · Data from the CMS NPPES public registry.