SAMUEL G WILSON MD
NPI 1912948019
Emergency Medicine in Hesperia, CA
About Samuel G Wilson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL G WILSON MD (NPI 1912948019) is an individual emergency medicine provider in Hesperia, California, licensed in California (G55580) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel G Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Samuel Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hesperia, CA 92345
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Victorville, CA 92395
- Reassigned Medicare billing, California enrollment
- 233 clinicians in this Medicare group
Santa Rosa, CA 95405
- Reassigned Medicare billing, California enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HESPERIA, CA 92345
HESPERIA, CA 92345
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 Samuel Wilson's NPI number?
The NPI number for Samuel Wilson is 1912948019. It was assigned to this individual provider in the NPPES registry on June 9, 2006.
Where is Samuel Wilson located?
Samuel Wilson practices at 12021 Jacaranda Ave 101, Hesperia, CA 92345. The listed phone number is (760) 956-5057.
What is Samuel Wilson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samuel Wilson enrolled in Medicare?
Yes. Samuel Wilson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wilson reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (Hesperia, CA), County Of San Bernardino (Victorville, CA) and Chase Dennis Emergency Medical Group Inc (Santa Rosa, CA). Each 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 Samuel 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 Samuel Wilson was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Samuel G Wilson, MD · NPI 1912948019
Emergency Medicine physician in Hesperia, California. Individual provider, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1912948019 (Entity type: Individual)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G55580 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12021 JACARANDA AVE, 101, Hesperia, CA 92345-4956
- **Phone:** (760) 956-5057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1457680530, Hesperia, CA); County Of San Bernardino (NPI 1699984997, Victorville, CA); Chase Dennis Emergency Medical Group Inc (NPI 1033152350, Santa Rosa, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 00G555800 (CA); Medicare UPIN A52985; Medicaid 00G555800 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1912948019) · Data from the CMS NPPES public registry.