DANE NORRIS WILSON DO
NPI 1386336824
Family Medicine in Gothenburg, NE
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 and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dane Norris Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dane Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gothenburg, NE 69138
- Reassigned Medicare billing, Nebraska enrollment
- 21 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.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Dane Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dane Wilson reassigns Medicare benefits to Gothenburg Memorial Hospital (Gothenburg, NE). 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 Dane Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dane Wilson accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Dane 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 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 2 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.
# Dane Norris Wilson, DO · NPI 1386336824
Family Medicine physician in Gothenburg, Nebraska. Individual provider, active in the CMS NPPES registry since May 23, 2023.
## Identity
- **NPI:** 1386336824 (Entity type: Individual)
- **Enumerated:** May 23, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 94-11403 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 910 20TH ST, Gothenburg, NE 69138-1237
- **Phone:** (308) 550-8810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gothenburg Memorial Hospital (NPI 1922051531, Gothenburg, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386336824) · Data from the CMS NPPES public registry.