MADELINE WILSON
NPI 1720714512
Social Worker - Clinical in Fayetteville, NC
About Madeline Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADELINE WILSON (NPI 1720714512) is an individual clinical provider in Fayetteville, North Carolina, licensed in (P014644) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Raeford, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madeline 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.
Medicare Billing Reassignments
3Medicare enrollment records show Madeline Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28314
- Reassigned Medicare billing, North Carolina enrollment
- 3 clinicians in this Medicare group
Fayetteville, NC 28303
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
Fayetteville, NC 28303
- Reassigned Medicare billing, North Carolina enrollment
- 6 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
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 Madeline Wilson's NPI number?
The NPI number for Madeline Wilson is 1720714512. It was assigned to this individual provider in the NPPES registry on July 25, 2022.
Where is Madeline Wilson located?
Madeline Wilson practices at 2212 Hope Mills Rd, Fayetteville, NC 28304. The listed phone number is (910) 779-0454.
What is Madeline Wilson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Madeline Wilson enrolled in Medicare?
Yes. Madeline 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.
Which organizations bill Medicare for Madeline Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Wilson reassigns Medicare benefits to 3 organizations: Calming Earth Collective PLLC (Fayetteville, NC), Fayetteville Neuropsychology PLLC (Fayetteville, NC) and Renew Counseling Center Of Nc LLC (Fayetteville, NC). Each 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 Madeline Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madeline Wilson accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Madeline 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 Madeline Wilson was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Madeline Wilson · NPI 1720714512
Clinical provider in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since July 25, 2022.
## Identity
- **NPI:** 1720714512 (Entity type: Individual)
- **Enumerated:** July 25, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** P014644
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2212 HOPE MILLS RD, Fayetteville, NC 28304-4228
- **Phone:** (910) 779-0454
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Calming Earth Collective PLLC (NPI 1912767104, Fayetteville, NC); Fayetteville Neuropsychology PLLC (NPI 1053830315, Fayetteville, NC); Renew Counseling Center Of Nc LLC (NPI 1528470325, Fayetteville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720714512) · Data from the CMS NPPES public registry.