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BRADLEY WILSON
NPI 1447993530
Nurse Practitioner in Loma Linda, CA

Active since April 16, 2022PECOS EnrolledAccepts Medicare Assignment
11262 CAMPUS ST, LOMA LINDA, CA 92350(909) 558-1000 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2024, Apr 16, 2022 (2 updates tracked since 2022).

About Bradley Wilson NPPES

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

BRADLEY WILSON (NPI 1447993530) is an individual nurse practitioner in Loma Linda, California, licensed in California (95026798) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2023).

NPPES Registry Identity

NPI1447993530
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRADLEY WILSON
Location Address11262 CAMPUS STLoma Linda, CA 92350-1727
Mailing Address11262 Campus StLoma Linda, CA 92350-1727 · (909) 558-1000
Phone(909) 558-1000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2023
Enumeration DateApril 16, 2022
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1447993530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95026798
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11262 CAMPUS ST, Loma Linda, CA 92350
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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

Bradley Wilson 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 ID5890237176
PECOS Enrollment IDI20240603002614
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

KATHERINE HUAY-HSIEN GOH
Nurse Practitioner
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-1000
KATELYN HORNE
Pharmacist
11262 CAMPUS ST, SCHOOL OF PHARMACY
LOMA LINDA, CA 92350
San Bernardino County (707) 372-3413
NIKA SPENCER RN, AGNP CANDIDATE
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923
JULIUS ERWIN MACROHON REYES
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923
MS. MEGANN LEIGH SYNNOTT
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-1000
JACKIE RAYGOZA
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923
LUCHIA LYNETTE HANSEN BSN, RN, AGNP-S
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-1000
HEATHER PAULA RODRIGUEZ
Nurse Anesthetist, Certified Registered
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923

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 Bradley Wilson's NPI number?

The NPI number for Bradley Wilson is 1447993530. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Bradley Wilson located?

Bradley Wilson practices at 11262 Campus St, Loma Linda, CA 92350. The listed phone number is (909) 558-1000.

What is Bradley Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bradley Wilson enrolled in Medicare?

Yes. Bradley 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.

When was this NPI record last updated?

The NPPES record for Bradley Wilson was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.