NATHAN WILSON
NPI 1528812880
Student in an Organized Health Care Education/Training Program in Southfield, MI

Q: What is Nathan Wilson's NPI number?

The NPI number for Nathan Wilson is 1528812880. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Q: What is Nathan Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Wilson was last updated on April 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2024PECOS Enrolled

16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3000 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nathan Wilson NPPES

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

NATHAN WILSON (NPI 1528812880) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528812880

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHAN WILSON

Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818

Mailing Address32121 Woodward Ave Ste 101Royal Oak, MI 48073-0999 · (248) 549-3338 · Fax (248) 465-4503

Phone(248) 849-3000

Sole ProprietorNo

Enumeration DateApril 15, 2024

NPPES CertifiedApril 14, 2024

✔ NPI 1528812880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

16001 W 9 MILE RD, Southfield, MI 48075

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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 (PECOS)

Nathan Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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