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MR. BENJAMIN FREDERICK WILSON MD
NPI 1598225583
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since March 25, 2019PECOS Enrolled
MAINE MEDICAL CENTER, 22 BRAMHALL STREET, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Aug 18, 2020 (2 updates tracked since 2020).

About Mr. Benjamin Frederick Wilson Md NPPES

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

MR. BENJAMIN FREDERICK WILSON MD (NPI 1598225583) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1598225583
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. BENJAMIN FREDERICK WILSONCredential: MD
Location AddressMAINE MEDICAL CENTER, 22 BRAMHALL STREETPortland, ME 04102
Mailing Address96 Applecrest DrYarmouth, ME 04096-8311 · (757) 470-1925
Phone(207) 662-0111
Sole ProprietorYes
Enumeration DateMarch 25, 2019
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1598225583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101270233 (VA)
MAINE MEDICAL CENTER, Portland, ME 04102
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Secondary Practice Location 1

Location 1Maine Medical Center, 22 Bramhall StreetPortland, ME 04102 · Phone (207) 662-0111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Benjamin Frederick Wilson Md 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.

Other Providers at the Same Location NPPES 11

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

MARY ANNE CARROLL MD
Obstetrics & Gynecology
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (207) 662-0111
RICHARD GERALD BYRNES MD
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (207) 762-0111
KAILEY JEAN KOWALSKI DO
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (207) 662-0111
DR. SAMUEL B POTTER M.D.
Emergency Medicine
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (207) 662-0111
TIMOTHY BRODSKY MD
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ZACHARY CHALONER
Physical Medicine & Rehabilitation
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (631) 599-0048
DR. MONICA HOPE STEVENS MD
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (207) 662-0111
NIKOLAI E RENEDO MD
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Benjamin Wilson's NPI number?

The NPI number for Benjamin Wilson is 1598225583. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Benjamin Wilson located?

Benjamin Wilson practices at Maine Medical Center 22 Bramhall Street, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Benjamin Wilson's specialty?

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

Is Benjamin Wilson enrolled in Medicare?

Yes. Benjamin Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Wilson was last updated on June 6, 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.