ADAM J WILSON CNP
NPI 1275925547
Nurse Practitioner in Lexington, KY

Q: What is Adam Wilson's NPI number?

The NPI number for Adam Wilson is 1275925547. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Q: What is Adam Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Wilson was last updated on July 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.

Active since February 24, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1401 HARRODSBURG RD, A300, LEXINGTON, KY 40504(859) 313-4744(859) 276-5939 Get Directions Write a Review

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

Record update history: Jul 27, 2020, Jul 3, 2019, Jan 11, 2016 (3 updates tracked since 2016).

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About Adam J Wilson Cnp NPPES

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

ADAM J WILSON CNP (NPI 1275925547) is an individual nurse practitioner in Lexington, Kentucky, licensed in North Carolina (5013115) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275925547

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameADAM J WILSONCredential: CNP

Location Address1401 HARRODSBURG RD, A300Lexington, KY 40504-3751

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (606) 330-7825

Phone(859) 313-4744

Fax(859) 276-5939

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 24, 2015

Last NPPES UpdateJuly 27, 20203 updates tracked since enumeration

NPPES CertifiedJuly 27, 2020

✔ NPI 1275925547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5013115

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 16681NP (OH), 3009626 (KY)

1401 HARRODSBURG RD, Lexington, KY 40504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Adam J Wilson Cnp 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 ID446576433

PECOS Enrollment IDI20200721002020

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 Reassignments

Medicare enrollment records show Adam Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation

157 mi

Anesthesiology

111 S GRANT AVE FL 3
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1407292105 (614) 566-8808

Mission Community Anesthesiology Specialists LLC

200 mi

Physician Assistant

1 HOSPITAL DR STE 4100
Asheville, NC 28801

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
824 clinicians in this Medicare group

NPI 1114497344 (828) 213-1740

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 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

89 services65 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services22 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340016

Location68 Hospital RdSylva, NC 28779 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

OLEVA C SCHOEDLBAUER P.A.-C.

Physician Assistant

1401 HARRODSBURG RD, SUITE A-540
LEXINGTON, KY 40504

Fayette County (859) 258-6760

ARMAGHAN YUNIS SOOMRO MD

Internal Medicine (Interventional Cardiology)

1401 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (859) 276-4429

JANALYN PROWS M.D.

Radiology (Radiation Oncology)

1401 HARRODSBURG RD, SUITE A-100
LEXINGTON, KY 40504

Fayette County (859) 258-6505

MR. ROBERT GREG MCMORROW MD

Internal Medicine (Nephrology)

1401 HARRODSBURG RD, C 335
LEXINGTON, KY 40504

Fayette County (859) 276-5355

LAURA RARDIN-ECTON PA-C

Physician Assistant

1401 HARRODSBURG RD, SUITE B275
LEXINGTON, KY 40504

Fayette County (859) 278-2334

DR. JUSTIN DALE JOHNSON M.D.

Urology

1401 HARRODSBURG RD, SUITE C-215
LEXINGTON, KY 40504

Fayette County (859) 258-6450

DANILO CORALES

Internal Medicine

1401 HARRODSBURG RD, B 299
LEXINGTON, KY 40504

Fayette County (859) 276-0714

NEIL R FARRIS MD

Internal Medicine

1401 HARRODSBURG RD, SUITE C215
LEXINGTON, KY 40504

Fayette County (859) 278-9413

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 Adam Wilson's NPI number?

The NPI number for Adam Wilson is 1275925547. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Adam Wilson located?

Adam Wilson practices at 1401 Harrodsburg Rd A300, Lexington, KY 40504. The listed phone number is (859) 313-4744.

What is Adam Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Adam Wilson enrolled in Medicare?

Yes. Adam 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 organizations bill Medicare for Adam Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Wilson reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Mission Community Anesthesiology Specialists LLC (Asheville, NC). 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 Adam Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Adam 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 Adam Wilson affiliated with any hospitals?

According to CMS data, Adam Wilson is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Harris Regional Hospital.

When was this NPI record last updated?

The NPPES record for Adam Wilson was last updated on July 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.