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

Q: 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.

Q: What is Corey-michael Wilcox's specialty?

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

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: October 25, 2026.

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

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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

Phone(207) 874-1489

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Corey-michael Wilcox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth

1.0 mi

Gynecology

100 BRICKHILL AVE
South Portland, ME 04106

Reassigned Medicare billing, Maine enrollment
3,140 clinicians in this Medicare group

NPI 1679887400 (207) 775-1255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 9

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

CHRISTOPHER M CATHCART

Physician Assistant