WALTER WILSON JR. MD
NPI 1821485400
Psychiatry & Neurology - Child & Adolescent Psychiatry in Newport, KY

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment
215 E 11TH ST, NEWPORT, KY 41071(859) 655-6100 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2021, Mar 15, 2021, Jul 14, 2020 and 1 more (4 updates tracked since 2020).

About Walter Wilson Jr. Md NPPES

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

WALTER WILSON JR. MD (NPI 1821485400) is an individual child & adolescent psychiatry provider in Newport, Kentucky, licensed in Kentucky (54415) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Covington, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2015).

NPPES Registry Identity

NPI1821485400
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameWALTER WILSON JR.Credential: MD
Location Address215 E 11TH STNewport, KY 41071-2203
Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2015
Enumeration DateApril 21, 2015
Last NPPES UpdateApril 1, 20214 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1821485400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in KY · 54415
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

215 E 11TH ST, Newport, KY 41071

Secondary Practice Location 1

Location 11401 Madison AveCovington, KY 41011-3313 · Phone (859) 655-6100

Other Identifiers 1

Other54415KY · Ky License

Accepted Insurance

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

Walter Wilson Jr. Md 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 ID1254643240
PECOS Enrollment IDI20200805002592
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.

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Pediatrics
215 E 11TH ST
NEWPORT, KY 41071
Family Medicine
215 E 11TH ST
NEWPORT, KY 41071
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071

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 Walter Wilson's NPI number?

The NPI number for Walter Wilson is 1821485400. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Walter Wilson located?

Walter Wilson practices at 215 E 11th St, Newport, KY 41071. The listed phone number is (859) 655-6100.

What is Walter Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Walter Wilson enrolled in Medicare?

Yes. Walter 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.

What insurance does Walter Wilson accept?

Health plans from CareSource and Providence Health Plan list Walter 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 Walter Wilson was last updated on April 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.