COREY-MICHAEL WILCOX FNP
NPI 1730072711
Nurse Practitioner - Family in South Portland, ME

Active since May 30, 2025PECOS EnrolledAccepts Medicare Assignment
100 FODEN RD STE 203, SOUTH PORTLAND, ME 04106(207) 874-1489 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, May 30, 2025 (2 updates tracked since 2025).

About Corey-michael Wilcox Fnp NPPES

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

COREY-MICHAEL WILCOX FNP (NPI 1730072711) is an individual family provider in South Portland, Maine, licensed in Maine (CNP251322) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Scarborough.

NPPES Registry Identity

NPI1730072711
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCOREY-MICHAEL WILCOXCredential: FNP
Location Address100 FODEN RD STE 203South Portland, ME 04106-2327
Mailing Address100 Gannett Dr Ste CSouth Portland, ME 04106-5900 · (207) 347-2947
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 30, 2025
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1730072711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · CNP251322
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License CNP251322 (ME)
100 FODEN RD STE 203, South Portland, ME 04106

Secondary Practice Location 1

Location 196 Campus DrScarborough, ME 04074-7163 · Phone (207) 885-9905 · Fax (207) 396-5600

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

Corey-michael Wilcox Fnp 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 ID244739381
PECOS Enrollment IDI20250815003913
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.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Other Providers at the Same Location NPPES 10

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

Family Medicine
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106
Physician Assistant
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106
Family Medicine
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106
Nurse Practitioner
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Adult Health)
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106
Family Medicine
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106
Family Medicine
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106

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 Corey-michael Wilcox's NPI number?

The NPI number for Corey-michael Wilcox is 1730072711. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Corey-michael Wilcox located?

Corey-michael Wilcox practices at 100 Foden Rd Ste 203, South Portland, ME 04106. The listed phone number is (207) 874-1489.

What is Corey-michael Wilcox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Corey-michael Wilcox enrolled in Medicare?

Yes. Corey-michael Wilcox 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 Corey-michael Wilcox affiliated with any hospitals?

According to CMS data, Corey-michael Wilcox is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Corey-michael Wilcox was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.