Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN CAMPBELL WILSON M.D., PH.D.
NPI 1619292240
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment
3550 N INTERSTATE AVE, EAST INTERSTATE MEDICAL OFFICE - MENTAL HEALTH, PORTLAND, OR 97227(503) 249-3434 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 31, 2026, Feb 1, 2022 (2 updates tracked since 2022).

About Dr. John Campbell Wilson M.d., Ph.d. NPPES

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

DR. JOHN CAMPBELL WILSON M.D., PH.D. (NPI 1619292240) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD158028) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).

NPPES Registry Identity

NPI1619292240
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN CAMPBELL WILSONCredential: M.D., PH.D.
Location Address3550 N INTERSTATE AVE, EAST INTERSTATE MEDICAL OFFICE - MENTAL HEALTHPortland, OR 97227-1196
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (503) 249-3434
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2010
Enumeration DateApril 7, 2010
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1619292240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in OR · MD158028 Licensed in WA · MD60649842
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License MD158028 (OR), MD60649842 (WA)
3550 N INTERSTATE AVE, Portland, OR 97227

Accepted Insurance

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

Dr. John Campbell Wilson M.d., Ph.d. 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 ID3476706532
PECOS Enrollment IDI20150331000996
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

Counselor
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Psychologist (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner (Family)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Dietitian, Registered
3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227
Pharmacy (Managed Care Organization Pharmacy)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3550 N INTERSTATE AVE
PORTLAND, OR 97227

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 John Wilson's NPI number?

The NPI number for John Wilson is 1619292240. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is John Wilson located?

John Wilson practices at 3550 N Interstate Ave East Interstate Medical Office - Mental Health, Portland, OR 97227. The listed phone number is (503) 249-3434.

What is John Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Wilson enrolled in Medicare?

Yes. John 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.

What insurance does John Wilson accept?

Health plans from Kaiser Permanente list John Wilson 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 John Wilson was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.