Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANE NORRIS WILSON DO
NPI 1386336824
Family Medicine in Gothenburg, NE

Active since May 23, 2023PECOS Enrolled
910 20TH ST, GOTHENBURG, NE 69138(308) 550-8810 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, May 23, 2023 (2 updates tracked since 2023).

About Dane Norris Wilson Do NPPES

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

DANE NORRIS WILSON DO (NPI 1386336824) is an individual family medicine provider in Gothenburg, Nebraska, licensed in Kansas (94-11403) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386336824
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANE NORRIS WILSONCredential: DO
Location Address910 20TH STGothenburg, NE 69138-1237
Mailing AddressPo Box 469Gothenburg, NE 69138-0469 · (308) 537-3661 · Fax (308) 537-3074
Sole ProprietorNo
Enumeration DateMay 23, 2023
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
NPI 1386336824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 94-11403
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
910 20TH ST, Gothenburg, NE 69138

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dane Norris Wilson Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
910 20TH ST
GOTHENBURG, NE 69138
Physical Therapist
910 20TH ST
GOTHENBURG, NE 69138
Nurse Practitioner (Family)
910 20TH ST
GOTHENBURG, NE 69138
Counselor (Mental Health)
910 20TH ST
GOTHENBURG, NE 69138
Medicare Defined Swing Bed Unit
910 20TH ST
GOTHENBURG, NE 69138
Dietitian, Registered
910 20TH ST
GOTHENBURG, NE 69138
Physical Therapist
910 20TH ST
GOTHENBURG, NE 69138
Physical Therapy Assistant
910 20TH ST
GOTHENBURG, NE 69138

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 Dane Wilson's NPI number?

The NPI number for Dane Wilson is 1386336824. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Dane Wilson located?

Dane Wilson practices at 910 20th St, Gothenburg, NE 69138. The listed phone number is (308) 550-8810.

What is Dane Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dane Wilson enrolled in Medicare?

Yes. Dane Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dane Wilson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.