NICHOLE WILSON NP
NPI 1881186120
Nurse Practitioner - Primary Care in Providence, RI

Q: What is Nichole Wilson's NPI number?

The NPI number for Nichole Wilson is 1881186120. It was assigned to this individual provider in the NPPES registry on June 2, 2018.

Q: What is Nichole Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Wilson was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 02, 2018PECOS EnrolledAccepts Medicare Assignment

355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nichole Wilson Np NPPES

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

NICHOLE WILSON NP (NPI 1881186120) is an individual primary care provider in Providence, Rhode Island, licensed in New York (F308344) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1881186120

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameNICHOLE WILSONCredential: NP

Location Address355 PRAIRIE AVEProvidence, RI 02905-1928

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400

Phone(401) 444-0570

Fax(401) 444-0427

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 2, 2018

Last NPPES UpdateJanuary 10, 2024

NPPES CertifiedJanuary 10, 2024

✔ NPI 1881186120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NY · F308344

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN03871 (RI)

355 PRAIRIE AVE, Providence, RI 02905

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Secondary Practice Location 1

Location 17404 5th AveBrooklyn, NY 11209-2704 · Phone (401) 536-3106

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

Nichole Wilson Np 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 ID4688903057

PECOS Enrollment IDI20190910002480, I20240118000644

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 Reassignments

Medicare enrollment records show Nichole Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Providence Community Health Centers, Inc

0.7 mi

Federally Qualified Health Center (FQHC)

375 ALLENS AVE
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
112 clinicians in this Medicare group

NPI 1053313593 (401) 444-0400

Cross Island Medical LLC

149 mi

Internal Medicine

13525 79TH ST
Howard Beach, NY 11414

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1285290775 (917) 903-3885

Rockwell Health LLC

156 mi

Multi-Specialty

17 W 9TH ST
Brooklyn, NY 11231

Reassigned Medicare billing, New York enrollment
20 clinicians in this Medicare group

NPI 1699479733 (718) 599-9090

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.

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 20

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

SORAYA S. P. DARWOOD MD

Family Medicine