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DR. NICOLAS RAY WILSON PSY.D
NPI 1649612854
Psychologist - Clinical in Kernersville, NC

Active since July 29, 2013PECOS Enrolled
931 S MAIN ST STE E, #288, KERNERSVILLE, NC 27284(336) 993-6000 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, May 13, 2020, Nov 14, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Nicolas Ray Wilson Psy.d NPPES

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

DR. NICOLAS RAY WILSON PSY.D (NPI 1649612854) is an individual clinical provider in Kernersville, North Carolina, licensed in Virginia (0810009277) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649612854
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLAS RAY WILSONCredential: PSY.D
Location Address931 S MAIN ST STE E, #288Kernersville, NC 27284-7459
Mailing Address931 S Main St Ste E, #288Kernersville, NC 27284-7459 · (336) 462-8523
Phone(336) 993-6000
Sole ProprietorYes
Enumeration DateJuly 29, 2013
Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1649612854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810009277
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
931 S MAIN ST STE E, Kernersville, NC 27284
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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)

Dr. Nicolas Ray Wilson Psy.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nicolas Wilson's NPI number?

The NPI number for Nicolas Wilson is 1649612854. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Nicolas Wilson located?

Nicolas Wilson practices at 931 S Main St Ste E #288, Kernersville, NC 27284. The listed phone number is (336) 993-6000.

What is Nicolas Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicolas Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicolas Wilson was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.