MR. THEODORE ERIC VOGEL-WILSON
NPI 1639693849
Counselor - Professional in Rock Island, IL

Active since July 29, 2017PECOS EnrolledAccepts Medicare Assignment
931 17TH ST, ROCK ISLAND, IL 61201(309) 558-4063 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 29, 2017 (2 updates tracked since 2017).

About Mr. Theodore Eric Vogel-wilson NPPES

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

MR. THEODORE ERIC VOGEL-WILSON (NPI 1639693849) is an individual professional provider in Rock Island, Illinois, licensed in Illinois (180015775) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639693849
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THEODORE ERIC VOGEL-WILSON
Location Address931 17TH STRock Island, IL 61201-2724
Mailing Address931 17th StRock Island, IL 61201-2724 · (309) 558-4063
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2017
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
NPI 1639693849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180015775
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 107440 (IA)
931 17TH ST, Rock Island, IL 61201

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

Mr. Theodore Eric Vogel-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 ID9537677471
PECOS Enrollment IDI20250802000076
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.

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 Theodore Vogel-wilson's NPI number?

The NPI number for Theodore Vogel-wilson is 1639693849. It was assigned to this individual provider in the NPPES registry on July 29, 2017.

Where is Theodore Vogel-wilson located?

Theodore Vogel-wilson practices at 931 17th St, Rock Island, IL 61201. The listed phone number is (309) 558-4063.

What is Theodore Vogel-wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Theodore Vogel-wilson enrolled in Medicare?

Yes. Theodore Vogel-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 Theodore Vogel-wilson accept?

Health plans from Quartz and UnitedHealthcare list Theodore Vogel-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 Theodore Vogel-wilson was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.