MISTY D WILSON
NPI 1720440290
Counselor - Mental Health in Omaha, NE
About Misty D Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY D WILSON (NPI 1720440290) is an individual mental health provider in Omaha, Nebraska, licensed in Nebraska (10814) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Misty D Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Misty Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Vista, NE 68128
- Reassigned Medicare billing, Nebraska enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Misty Wilson's NPI number?
The NPI number for Misty Wilson is 1720440290. It was assigned to this individual provider in the NPPES registry on March 24, 2016.
Where is Misty Wilson located?
Misty Wilson practices at 11713 M Cir, Omaha, NE 68137. The listed phone number is (402) 933-4411.
What is Misty Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Misty Wilson enrolled in Medicare?
Yes. Misty Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Misty Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misty Wilson reassigns Medicare benefits to Focus C3, PC (La Vista, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Misty Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Misty Wilson accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Misty 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 Misty Wilson was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Misty D Wilson · NPI 1720440290
Mental Health provider in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since March 24, 2016.
## Identity
- **NPI:** 1720440290 (Entity type: Individual)
- **Enumerated:** March 24, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 10814 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 11713 M CIR, Omaha, NE 68137-2218
- **Phone:** (402) 933-4411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Focus C3, PC (NPI 1831643964, La Vista, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1720440290) · Data from the CMS NPPES public registry.