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STEPHEN L WILSON MD
NPI 1760513451
Specialist in Ft Worth, TX

Active since March 07, 2007PECOS Enrolled
1015 S HENDERSON ST, FT WORTH, TX 76104(817) 870-1035(817) 332-5005 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen L Wilson Md NPPES

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

STEPHEN L WILSON MD (NPI 1760513451) is an individual specialist in Ft Worth, Texas, licensed in Texas (MDG4220) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760513451
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSTEPHEN L WILSONCredential: MD
Location Address1015 S HENDERSON STFt Worth, TX 76104-2924
Mailing Address1015 S Henderson StFt Worth, TX 76104-2924 · (817) 870-1035 · Fax (817) 332-5005
Phone(817) 870-1035
Fax(817) 332-5005
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760513451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · MDG4220
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1015 S HENDERSON ST, Ft Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC23634TX
Medicare ID-Type Unspecified8345K0TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen L Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Stephen Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs,phs,naihs,gallup Indian Medical Center
677 mi
Skilled Nursing Facility
3720 CHURCH ROCK ST
Gallup, NM 87301
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
NPI 1245409960 (505) 722-1000

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

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

STEPHEN L WILSON MD PA
Specialist
1015 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 870-1035

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 Stephen Wilson's NPI number?

The NPI number for Stephen Wilson is 1760513451. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Stephen Wilson located?

Stephen Wilson practices at 1015 S Henderson St, Ft Worth, TX 76104. The listed phone number is (817) 870-1035.

What is Stephen Wilson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Stephen Wilson enrolled in Medicare?

Yes. Stephen Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Wilson reassigns Medicare benefits to Dhhs,phs,naihs,gallup Indian Medical Center (Gallup, NM). 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 Stephen Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephen Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.