TESHINA NICOLE WILSON D.O.
NPI 1417147422
Family Medicine in Richmond, CA

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment
1030 NEVIN AVE, RICHMOND, CA 94801(510) 215-5001(510) 215-1115 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2022, Jan 25, 2016 (2 updates tracked since 2016).

About Teshina Nicole Wilson D.o. NPPES

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

TESHINA NICOLE WILSON D.O. (NPI 1417147422) is an individual family medicine provider in Richmond, California, licensed in California (13746) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1417147422
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTESHINA NICOLE WILSONCredential: D.O.
Location Address1030 NEVIN AVERichmond, CA 94801-3122
Mailing Address1465 65th St, #432Emeryville, CA 94608-1062 · (510) 285-6814
Fax(510) 215-1115
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 26, 2007
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
NPI 1417147422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 13746 Licensed in DE · C20009495
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.
1030 NEVIN AVE, Richmond, CA 94801

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

Teshina Nicole Wilson D.o. 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 ID7719169572
PECOS Enrollment IDI20160701001019
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 94801 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

Social Worker (Clinical)
1030 NEVIN AVE
RICHMOND, CA 94801
Advanced Practice Midwife
1030 NEVIN AVE
RICHMOND, CA 94801
Internal Medicine
1030 NEVIN AVE
RICHMOND, CA 94801
Social Worker (Clinical)
1030 NEVIN AVE
RICHMOND, CA 94801

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 Teshina Wilson's NPI number?

The NPI number for Teshina Wilson is 1417147422. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Teshina Wilson located?

Teshina Wilson practices at 1030 Nevin Ave, Richmond, CA 94801. The listed phone number is (510) 215-5001.

What is Teshina Wilson's specialty?

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

Is Teshina Wilson enrolled in Medicare?

Yes. Teshina 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 Teshina Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Teshina 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 Teshina Wilson was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.