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MITCHELL WILSON
NPI 1659933505
Student in an Organized Health Care Education/Training Program in Albany, NY

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINE, ALBANY, NY 12208(518) 262-5735 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell Wilson NPPES

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

MITCHELL WILSON (NPI 1659933505) is an individual student in an organized health care education/training program in Albany, New York, licensed in New York (64246) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659933505
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL WILSON
Location Address47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINEAlbany, NY 12208
Mailing Address47 New Scotland Avenue, Dept. Of Internal MedicineAlbany, NY 12208 · (518) 262-5735
Phone(518) 262-5735
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 1, 2019
✔ NPI 1659933505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 64246
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.
47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINE, Albany, NY 12208
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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 and accepts Medicare assignment

Mitchell 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 ID5395260442
PECOS Enrollment IDI20250422000654
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

DR. SHIRLEY BOTROS DO
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINE
ALBANY, NY 12208
Albany County (518) 262-5377
LARABE FARRUKH
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINE
ALBANY, NY 12208
Albany County (518) 262-5377
SAMEERA ALOCOZY M.D.
Physical Medicine & Rehabilitation
47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINE
ALBANY, NY 12208
Albany County (518) 262-5377
GRENITA GJYRIQI DO
Internal Medicine
47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINE
ALBANY, NY 12208
Albany County (518) 262-5735
SIMRIN SINGH KOONER MD
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVENUE, DEPT. OF INTERNAL MEDICINE
ALBANY, NY 12208
Albany County (518) 262-5377

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 Mitchell Wilson's NPI number?

The NPI number for Mitchell Wilson is 1659933505. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Mitchell Wilson located?

Mitchell Wilson practices at 47 New Scotland Avenue, Dept. Of Internal Medicine, Albany, NY 12208. The listed phone number is (518) 262-5735.

What is Mitchell 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 Mitchell Wilson enrolled in Medicare?

Yes. Mitchell 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.

Is Mitchell Wilson affiliated with any hospitals?

According to CMS data, Mitchell Wilson is affiliated with Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for Mitchell Wilson was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.