BERNADETTE L WILSON DDS MD
NPI 1861592529
Dentist - Oral and Maxillofacial Surgery in Green Bay, WI

Q: What is Bernadette Wilson's NPI number?

The NPI number for Bernadette Wilson is 1861592529. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Q: What is Bernadette Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Bernadette Wilson was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 23, 2006PECOS Enrolled

430 MAIN ST, GREEN BAY, WI 54301(920) 431-0345(920) 431-0567 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2019, Jun 25, 2018, Aug 25, 2017 and 1 more (4 updates tracked since 2017).

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About Bernadette L Wilson Dds Md NPPES

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

BERNADETTE L WILSON DDS MD (NPI 1861592529) is an individual oral and maxillofacial surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (5239) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861592529

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameBERNADETTE L WILSONCredential: DDS MD

Location Address430 MAIN STGreen Bay, WI 54301-5115

Mailing Address164 N BroadwayGreen Bay, WI 54303-2728 · (920) 490-9046 · Fax (920) 405-5388

Phone(920) 431-0345

Fax(920) 431-0567

Sole ProprietorNo

Enumeration DateSeptember 23, 2006

Last NPPES UpdateFebruary 6, 20194 updates tracked since enumeration

✔ NPI 1861592529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in WI · 5239✔ Licensed in MT · 2235

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 5239 (WI), 11198 (MT)

430 MAIN ST, Green Bay, WI 54301

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Other Identifiers 1

Medicaid33761400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Bernadette L Wilson Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 20

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

DR. WILLIAM ARTHUR BRENNAN D.D.S.

Dentist (Periodontics)