THOMAS GROVE WILSON CNP
NPI 1316495401
Nurse Practitioner - Primary Care in Maplewood, MN
About Thomas Grove Wilson Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS GROVE WILSON CNP (NPI 1316495401) is an individual primary care provider in Maplewood, Minnesota, licensed in Minnesota (CNP 4710) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 3
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
Thomas Grove 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.
Medicare Billing Reassignments
6Medicare enrollment records show Thomas Wilson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55106
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Brooklyn Park, MN 55429
- Reassigned Medicare billing, Minnesota enrollment
- 4 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 5
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 55109 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.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
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 Thomas Wilson's NPI number?
The NPI number for Thomas Wilson is 1316495401. It was assigned to this individual provider in the NPPES registry on September 16, 2016.
Where is Thomas Wilson located?
Thomas Wilson practices at 3100 Kennard St Suite 100, Maplewood, MN 55109. The listed phone number is (651) 232-7800.
What is Thomas Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Thomas Wilson enrolled in Medicare?
Yes. Thomas 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 Thomas Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wilson reassigns Medicare benefits to 6 organizations: Healtheast Medical Research Institute (Maplewood, MN), Fairview Express Care (Maplewood, MN), Fairview Clinics (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN), Fairview Health Services (Minneapolis, MN) and 1 more organization, listed in the Medicare section above. 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 Thomas Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Wilson accept?
Health plans from Sanford Health Plan list Thomas 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 Thomas Wilson was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.