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NATALIE ANNE POLIZOPOULOS-WILSON
NPI 1376012021
Physician Assistant - Medical in Beaumont, TX

Active since November 23, 2018PECOS Enrolled
4215 N MAJOR DR APT 1712, BEAUMONT, TX 77713(409) 363-4175 Get Directions Write a Review

NPPES record last updated: November 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Natalie Anne Polizopoulos-wilson NPPES

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

NATALIE ANNE POLIZOPOULOS-WILSON (NPI 1376012021) is an individual medical provider in Beaumont, Texas and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376012021
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNATALIE ANNE POLIZOPOULOS-WILSON
Location Address4215 N MAJOR DR APT 1712Beaumont, TX 77713-9713
Mailing Address4215 N Major Dr Apt 1712Beaumont, TX 77713-9713
Phone(409) 363-4175
Sole ProprietorNo
Enumeration DateNovember 23, 2018
✔ NPI 1376012021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4215 N MAJOR DR APT 1712, Beaumont, TX 77713
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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 (PECOS)

Natalie Anne Polizopoulos-wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Natalie Polizopoulos-wilson's NPI number?

The NPI number for Natalie Polizopoulos-wilson is 1376012021. It was assigned to this individual provider in the NPPES registry on November 23, 2018.

Where is Natalie Polizopoulos-wilson located?

Natalie Polizopoulos-wilson practices at 4215 N Major Dr Apt 1712, Beaumont, TX 77713. The listed phone number is (409) 363-4175.

What is Natalie Polizopoulos-wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Natalie Polizopoulos-wilson enrolled in Medicare?

Yes. Natalie Polizopoulos-wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Natalie Polizopoulos-wilson was last updated on November 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.