AVA MICHELLE WILSON
NPI 1316640386
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Ava Michelle Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVA MICHELLE WILSON (NPI 1316640386) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ava Michelle Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Ava Wilson's NPI number?
The NPI number for Ava Wilson is 1316640386. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Ava Wilson located?
Ava Wilson practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (832) 314-2838.
What is Ava Wilson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ava Wilson enrolled in Medicare?
Yes. Ava Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ava Wilson was last updated on April 17, 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.
# Ava Michelle Wilson · NPI 1316640386
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1316640386 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (832) 314-2838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316640386) · Data from the CMS NPPES public registry.