WILSON REAL RN, BSN
NPI 1629792239
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Wilson Real Rn, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILSON REAL RN, BSN (NPI 1629792239) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10023691) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Wilson Real Rn, Bsn 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.
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.
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.
PORTLAND, OR 97227
PORTLAND, OR 97227
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 Wilson Real's NPI number?
The NPI number for Wilson Real is 1629792239. It was assigned to this individual provider in the NPPES registry on September 27, 2022.
Where is Wilson Real located?
Wilson Real practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 813-2000.
What is Wilson Real's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Wilson Real enrolled in Medicare?
Yes. Wilson Real 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 Wilson Real accept?
Health plans from Kaiser Permanente list Wilson Real 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 Wilson Real was last updated on July 31, 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.
# Wilson Real, RN, BSN · NPI 1629792239
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 27, 2022.
## Identity
- **NPI:** 1629792239 (Entity type: Individual)
- **Enumerated:** September 27, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10023691 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3550 N INTERSTATE AVE, Portland, OR 97227
- **Phone:** (503) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 31, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1629792239) · Data from the CMS NPPES public registry.