PATRICE M WILHELM APRN
NPI 1225011778
Nurse Practitioner - Family in Madison, CT
About Patrice M Wilhelm Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICE M WILHELM APRN (NPI 1225011778) is an individual family provider in Madison, Connecticut, licensed in Connecticut (002983) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Patrice M Wilhelm Aprn 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.
Medicare Billing Reassignments
4Medicare enrollment records show Patrice Wilhelm reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, CT 06443
- Reassigned Medicare billing, Connecticut enrollment
Branford, CT 06405
- Reassigned Medicare billing, Connecticut enrollment
- 6 clinicians in this Medicare group
New Haven, CT 06511
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
- 108 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06443 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Patrice Wilhelm's NPI number?
The NPI number for Patrice Wilhelm is 1225011778. It was assigned to this individual provider in the NPPES registry on November 29, 2005. The provider is also known as Patrice M O'neill-Wilhelm Aprn.
Where is Patrice Wilhelm located?
Patrice Wilhelm practices at 6 Woodland Rd Unit 3B, Madison, CT 06443. The listed phone number is (203) 350-2030.
What is Patrice Wilhelm's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Patrice Wilhelm enrolled in Medicare?
Yes. Patrice Wilhelm 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 organizations bill Medicare for Patrice Wilhelm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrice Wilhelm reassigns Medicare benefits to 4 organizations: Priority Health Services LLC (Madison, CT), Back To Health Of Branford, LLC (Branford, CT), Yale University (New Haven, CT) and Meriden Imaging Center, Inc. (Wallingford, CT). Each 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 Patrice Wilhelm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrice Wilhelm accept?
Health plans from Anthem Blue Cross and Blue Shield list Patrice Wilhelm 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 Patrice Wilhelm was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Patrice M Wilhelm, APRN · NPI 1225011778
Family physician in Madison, Connecticut. Individual provider, active in the CMS NPPES registry since November 29, 2005.
## Identity
- **NPI:** 1225011778 (Entity type: Individual)
- **Enumerated:** November 29, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 002983 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 WOODLAND RD UNIT 3B, Madison, CT 06443-2685
- **Phone:** (203) 350-2030 · **Fax:** (478) 202-9615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Priority Health Services LLC (NPI 1306549092, Madison, CT); Back To Health Of Branford, LLC (NPI 1215958772, Branford, CT); Yale University (NPI 1205822236, New Haven, CT); Meriden Imaging Center, Inc. (NPI 1508812561, Wallingford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 14, 2023
- **Other identifiers:** Medicaid 004249159 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1225011778) · Data from the CMS NPPES public registry.