NICHOLAS RICHARD WILSON PA-C
NPI 1407871262
Physician Assistant - Medical in Temperance, MI

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
8765 LEWIS AVE, TEMPERANCE, MI 48182(734) 847-3802 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Richard Wilson Pa-c NPPES

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

NICHOLAS RICHARD WILSON PA-C (NPI 1407871262) is an individual medical provider in Temperance, Michigan, licensed in Michigan (5601005306) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1407871262
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICHOLAS RICHARD WILSONCredential: PA-C
Location Address8765 LEWIS AVETemperance, MI 48182-9583
Mailing Address8765 Lewis AveTemperance, MI 48182-9583 · (734) 847-3802
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 13, 2006
Last NPPES UpdateFebruary 26, 2014
NPI 1407871262 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
License Licensed in MI · 5601005306
8765 LEWIS AVE, Temperance, MI 48182

Other Identifiers 1

Medicare UPINS87612IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas Richard Wilson Pa-c 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 ID3779528179
PECOS Enrollment IDI20140407001902
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.

Hospital Affiliations CMS Care Compare 4

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers34 claims53 services$5.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$82.02 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$30.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
8765 LEWIS AVE
TEMPERANCE, MI 48182
Nurse Practitioner (Family)
8765 LEWIS AVE
TEMPERANCE, MI 48182
Counselor (Professional)
8765 LEWIS AVE
TEMPERANCE, MI 48182
Family Medicine
8765 LEWIS AVE
TEMPERANCE, MI 48182
Social Worker (Clinical)
8765 LEWIS AVE
TEMPERANCE, MI 48182
Social Worker (Clinical)
8765 LEWIS AVE
TEMPERANCE, MI 48182
Counselor (Professional)
8765 LEWIS AVE
TEMPERANCE, MI 48182
Social Worker (Clinical)
8765 LEWIS AVE
TEMPERANCE, MI 48182

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 Nicholas Wilson's NPI number?

The NPI number for Nicholas Wilson is 1407871262. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Nicholas Wilson located?

Nicholas Wilson practices at 8765 Lewis Ave, Temperance, MI 48182. The listed phone number is (734) 847-3802.

What is Nicholas Wilson's specialty?

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

Is Nicholas Wilson enrolled in Medicare?

Yes. Nicholas 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.

What insurance does Nicholas Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Nicholas 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 Nicholas Wilson affiliated with any hospitals?

According to CMS data, Nicholas Wilson is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Wilson was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.