DR. ROBERT WILSON MD
NPI 1336110279
Psychiatry & Neurology - Child & Adolescent Psychiatry in Erie, PA

Q: What is Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1336110279. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Robert Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Robert Wilson was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 30, 2006PECOS EnrolledAccepts Medicare Assignment

1330 W 26TH ST, ERIE, PA 16508(814) 459-9300(814) 454-7780 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Mar 18, 2021 (2 updates tracked since 2021).

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About Dr. Robert Wilson Md NPPES

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

DR. ROBERT WILSON MD (NPI 1336110279) is an individual child & adolescent psychiatry provider in Erie, Pennsylvania, licensed in Pennsylvania (MD052629L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1989).

NPPES Registry Identity

NPI1336110279

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. ROBERT WILSONCredential: MD

Location Address1330 W 26TH STErie, PA 16508-1402

Mailing Address1330 W 26th StErie, PA 16508-1402 · (814) 456-9300

Phone(814) 459-9300

Fax(814) 454-7780

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1989

Enumeration DateJanuary 30, 2006

Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1336110279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in PA · MD052629L✔ Licensed in CA · G179480

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD052629L (PA), G179480 (CA)

1330 W 26TH ST, Erie, PA 16508

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Wilson Md 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 ID9335225366

PECOS Enrollment IDI20220721002815

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.

JAMIE MCCARRELL

Case Manager/Care Coordinator

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 983-8120

JENNIFER L CRANCE

Case Manager/Care Coordinator

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 983-8020

MARY BETH GRUNDLER

Counselor (Addiction (Substance Use Disorder))

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 451-2235

MRS. LISA MARIE THOMPSON BSN, RN

Registered Nurse

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 451-2337

ALEXIS ADAMS

Case Manager/Care Coordinator

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 431-9376

LARRY VOLLMER

Peer Specialist

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 449-6409

JAMES ROBERT DODD LPC

Counselor (Professional)

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 459-9300

JENNIFER ALISE YOUNG DBH, NCC, LPC

Counselor (Professional)

1330 W 26TH ST
ERIE, PA 16508

Erie County (814) 881-4029

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 Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1336110279. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Robert Wilson located?

Robert Wilson practices at 1330 W 26th St, Erie, PA 16508. The listed phone number is (814) 459-9300.

What is Robert Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Robert Wilson enrolled in Medicare?

Yes. Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Wilson was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.