MATTHEW WILSON
NPI 1356614150
Counselor - Mental Health in Palm Bay, FL

Active since February 10, 2012PECOS EnrolledAccepts Medicare Assignment
4195 HIELD RD NW, PALM BAY, FL 32907(407) 361-5788 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew Wilson NPPES

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

MATTHEW WILSON (NPI 1356614150) is an individual mental health provider in Palm Bay, Florida and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356614150
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW WILSON
Location Address4195 HIELD RD NWPalm Bay, FL 32907-6310
Mailing Address4195 Hield Rd NwPalm Bay, FL 32907-6310 · (407) 361-5788
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 10, 2012
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1356614150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4195 HIELD RD NW, Palm Bay, FL 32907

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

Matthew Wilson 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 ID4082122882
PECOS Enrollment IDI20250804001061
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 Reassignment

Medicare enrollment records show Matthew Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
2263 W NEW HAVEN AVE, #350
West Melbourne, FL 32904
  • Reassigned Medicare billing, Florida enrollment
  • 18 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.

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 Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1356614150. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Matthew Wilson located?

Matthew Wilson practices at 4195 Hield Rd NW, Palm Bay, FL 32907. The listed phone number is (407) 361-5788.

What is Matthew Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Matthew Wilson enrolled in Medicare?

Yes. Matthew 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 organization bills Medicare for Matthew Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wilson reassigns Medicare benefits to Practitioners In Motion PLLC (West Melbourne, FL). The 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 Matthew Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Wilson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Matthew 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 Matthew Wilson was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.