MR. WILSON FITZGERALD
NPI 1275334609
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 21, 2025PECOS Enrolled
1008 S SPRING AVE, SAINT LOUIS, MO 63110(314) 617-3955 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Wilson Fitzgerald NPPES

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

MR. WILSON FITZGERALD (NPI 1275334609) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275334609
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. WILSON FITZGERALD
Location Address1008 S SPRING AVESaint Louis, MO 63110-2520
Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520
Sole ProprietorYes
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1275334609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1008 S SPRING AVE, Saint Louis, MO 63110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Wilson Fitzgerald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Internal Medicine (Gastroenterology)
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Orthopaedic Surgery
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Surgery (Vascular Surgery)
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Otolaryngology
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1008 S SPRING AVE
SAINT LOUIS, MO 63110

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 Wilson Fitzgerald's NPI number?

The NPI number for Wilson Fitzgerald is 1275334609. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Wilson Fitzgerald located?

Wilson Fitzgerald practices at 1008 S Spring Ave, Saint Louis, MO 63110. The listed phone number is (314) 617-3955.

What is Wilson Fitzgerald's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wilson Fitzgerald enrolled in Medicare?

Yes. Wilson Fitzgerald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wilson Fitzgerald was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.