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MS. TYKIESHA MCDANIEL WILSON FNP
NPI 1396576724
Nurse Practitioner - Family in Greensboro, NC

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410(336) 883-0029(336) 883-0867 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2025, Aug 8, 2024 (2 updates tracked since 2024).

About Ms. Tykiesha Mcdaniel Wilson Fnp NPPES

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

MS. TYKIESHA MCDANIEL WILSON FNP (NPI 1396576724) is an individual family provider in Greensboro, North Carolina, licensed in North Carolina (5023474) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Sovah Health Danville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396576724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TYKIESHA MCDANIEL WILSONCredential: FNP
Location Address3402 BATTLEGROUND AVEGreensboro, NC 27410-2578
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029 · Fax (336) 883-0867
Phone(336) 883-0029
Fax(336) 883-0867
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2024
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1396576724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5023474
3402 BATTLEGROUND AVE, Greensboro, NC 27410
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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

Ms. Tykiesha Mcdaniel Wilson Fnp 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 ID3577084938
PECOS Enrollment IDI20260605002172
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 Reassignments

2

Medicare enrollment records show Tykiesha Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bethany Medical Center
Same address
Internal Medicine
3402 BATTLEGROUND AVE
Greensboro, NC 27410
  • Reassigned Medicare billing, North Carolina enrollment
  • 69 clinicians in this Medicare group
NPI 1316303076 (336) 883-0029
Martinsville Henry County Coalition For Health And Wellness
35 mi
Federally Qualified Health Center (FQHC)
4944 GREENSBORO RD
Ridgeway, VA 24148
  • Reassigned Medicare billing, Virginia enrollment
  • 22 clinicians in this Medicare group
NPI 1689182164 (276) 638-0787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27410 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 19

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

SHRADDHA JAI KHOKHAL
Nurse Practitioner
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 883-0029
MICHAEL J CARROLL PA
Pain Medicine (Pain Medicine)
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 883-0029
KATHRYN ELIZABETH SCHLAPPI PA-C
Physician Assistant
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 883-0029
BETHANY MEDICAL CENTER
Internal Medicine
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 883-0029
MELISSA BUJANOWSKI PA-C
Physician Assistant
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 883-0029
DR. YUN SUN M.D.
Pain Medicine (Pain Medicine)
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 883-0029
JANELLE M GROSSMAN
Pain Medicine (Pain Medicine)
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 883-0029
PROMPT MED, P.A.
Clinic/Center
3402 BATTLEGROUND AVE
GREENSBORO, NC 27410
Guilford County (336) 545-1515

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 Tykiesha Wilson's NPI number?

The NPI number for Tykiesha Wilson is 1396576724. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Tykiesha Wilson located?

Tykiesha Wilson practices at 3402 Battleground Ave, Greensboro, NC 27410. The listed phone number is (336) 883-0029.

What is Tykiesha Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tykiesha Wilson enrolled in Medicare?

Yes. Tykiesha 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 organizations bill Medicare for Tykiesha Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tykiesha Wilson reassigns Medicare benefits to 2 organizations: Bethany Medical Center (Greensboro, NC) and Martinsville Henry County Coalition For Health And Wellness (Ridgeway, VA). Each 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 Tykiesha Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tykiesha Wilson accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Tykiesha 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.

Is Tykiesha Wilson affiliated with any hospitals?

According to CMS data, Tykiesha Wilson is affiliated with Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Tykiesha Wilson was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.