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DR. NICOLE JOANN WILSON M.D.
NPI 1770903015
Pediatrics in Woodbury, MN

Active since April 25, 2014PECOS Enrolled
9680 TAMARACK RD STE 100, WOODBURY, MN 55125(651) 738-9001(651) 738-8915 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 15, 2017 (3 updates tracked since 2017).

About Dr. Nicole Joann Wilson M.d. NPPES

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

DR. NICOLE JOANN WILSON M.D. (NPI 1770903015) is an individual pediatrics provider in Woodbury, Minnesota, licensed in Minnesota (62339) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1770903015
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NICOLE JOANN WILSONCredential: M.D.
Location Address9680 TAMARACK RD STE 100Woodbury, MN 55125-2617
Mailing Address9680 Tamarack Rd Ste 100Woodbury, MN 55125-2617 · (651) 738-9001 · Fax (651) 738-8915
Phone(651) 738-9001
Fax(651) 738-8915
Sole ProprietorYes
Enumeration DateApril 25, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1770903015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 62339
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9680 TAMARACK RD STE 100, Woodbury, MN 55125
Open in Google Maps ↗

Secondary Practice Location 1

Location 12450 Riverside Ave, 6th Floor, East BuildingMinneapolis, MN 55454-1450 · Phone (612) 624-4418

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Joann Wilson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

DR. HANNAH CARLSON-DONOHOE ESDAL M.D.
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-9001
PRIORITY PEDIATRICS,P.A.
Clinic/Center (Urgent Care)
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
MARGARET KELLY TIERNEY MD
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
CENTRAL PEDIATRICS, P.A.
Clinic/Center (Primary Care)
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
DR. MATTHEW PHILIP JONES MD
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
DR. LINDSAY LEE BRAGG M.D.
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
RACHEL WEIGERT
Pediatrics (Pediatric Emergency Medicine)
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 731-5023
DIANA THYSSEN MD
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-9001

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 Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1770903015. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Nicole Wilson located?

Nicole Wilson practices at 9680 Tamarack Rd Ste 100, Woodbury, MN 55125. The listed phone number is (651) 738-9001.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Wilson enrolled in Medicare?

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

What insurance does Nicole Wilson accept?

Health plans from HealthPartners and Medica list Nicole 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 Nicole Wilson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.