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ROBERT M WILKINSON APRN
NPI 1457378044
Nurse Practitioner in Salem, KY

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
141 HOSPITAL DR STE 103, SALEM, KY 42078(270) 988-3298(270) 988-4642 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2019, Mar 13, 2019, Jun 27, 2016 (3 updates tracked since 2016).

About Robert M Wilkinson Aprn NPPES

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

ROBERT M WILKINSON APRN (NPI 1457378044) is an individual nurse practitioner in Salem, Kentucky, licensed in Kentucky (3002333) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1996).

NPPES Registry Identity

NPI1457378044
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameROBERT M WILKINSONCredential: APRN
Location Address141 HOSPITAL DR STE 103Salem, KY 42078-8043
Mailing Address637 Coleman RdMarion, KY 42064-7904 · (270) 965-5743
Phone(270) 988-3298
Fax(270) 988-4642
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1996
Enumeration DateJuly 17, 2006
Last NPPES UpdateApril 25, 20253 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1457378044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KY · 3002333✔ Licensed in OH · NP085181✔ Licensed in IL · 041-306933✔ Licensed in IN · 71003857A
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.
141 HOSPITAL DR STE 103, Salem, KY 42078
Open in Google Maps ↗

Other Identifiers 4

Other000000797909KY · Bcbs-baptist Health
Other000000534179KY · Bcbs Provider Number
Medicaid78005048KY
OtherP01172285KY · Railrod Medicare - Palmetto Gba

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.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

Robert M Wilkinson Aprn 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 ID1850488065
PECOS Enrollment IDI20071106000093, I20140310001285
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 Reassignment

Medicare enrollment records show Robert Wilkinson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-Rivers Healthcare PLLC
Same address
Rural Health
141 HOSPITAL DR
Salem, KY 42078
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
NPI 1588644496 (270) 988-3298

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 42078 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

TRI-RIVERS HEALTHCARE, PLLC
Surgery
141 HOSPITAL DR STE 103
SALEM, KY 42078
Livingston County (270) 988-3298

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 Robert Wilkinson's NPI number?

The NPI number for Robert Wilkinson is 1457378044. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Robert Wilkinson located?

Robert Wilkinson practices at 141 Hospital Dr Ste 103, Salem, KY 42078. The listed phone number is (270) 988-3298.

What is Robert Wilkinson's specialty?

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

Is Robert Wilkinson enrolled in Medicare?

Yes. Robert Wilkinson 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 organization bills Medicare for Robert Wilkinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Wilkinson reassigns Medicare benefits to Tri-Rivers Healthcare PLLC (Salem, KY). 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 Robert Wilkinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Wilkinson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Robert Wilkinson 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 Robert Wilkinson was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.