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SHANE WILSON
NPI 1528662152
Counselor - Mental Health in Anchorage, AK

Active since November 24, 2020PECOS EnrolledAccepts Medicare Assignment
2330 NICHOLS ST, ANCHORAGE, AK 99508(907) 279-6617 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shane Wilson NPPES

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

SHANE WILSON (NPI 1528662152) is an individual mental health provider in Anchorage, Alaska and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528662152
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE WILSON
Location Address2330 NICHOLS STAnchorage, AK 99508-3458
Mailing Address2330 Nichols StAnchorage, AK 99508-3458
Phone(907) 279-6617
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1528662152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2330 NICHOLS ST, Anchorage, AK 99508
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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

Shane 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 ID6406297142
PECOS Enrollment IDI20240513003546
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 Shane Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Assets Incorporated
Same address
Mental Health
2330 NICHOLS ST
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 5 clinicians in this Medicare group
NPI 1659490886 (907) 279-6617

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

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.

HARLEY CRIDER
Case Manager/Care Coordinator
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-8804
ARETHIA HUDSON
Case Manager/Care Coordinator
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-6617
HADDY DRAMMEH
Case Manager/Care Coordinator
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-8804
BABA CEESAY
Behavior Technician
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-8634
VINCENT VEGA
Case Manager/Care Coordinator
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-8606
GEORGE SAUNDERS
Case Manager/Care Coordinator
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-8606
CHRISTOPHER GAY
Case Manager/Care Coordinator
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-8606
LINDA SOLAITA
Case Manager/Care Coordinator
2330 NICHOLS ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-6617

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 Shane Wilson's NPI number?

The NPI number for Shane Wilson is 1528662152. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Shane Wilson located?

Shane Wilson practices at 2330 Nichols St, Anchorage, AK 99508. The listed phone number is (907) 279-6617.

What is Shane Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shane Wilson enrolled in Medicare?

Yes. Shane 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 organization bills Medicare for Shane Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Wilson reassigns Medicare benefits to Assets Incorporated (Anchorage, AK). 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 Shane Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Wilson was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.