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NICOLE MARIE WILSON AGACNP-BC
NPI 1922401223
Nurse Practitioner - Gerontology in Youngstown, OH

Active since September 30, 2014PECOS EnrolledAccepts Medicare Assignment
1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 747-6881 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2024, Oct 28, 2017 (2 updates tracked since 2017).

About Nicole Marie Wilson Agacnp-bc NPPES

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

NICOLE MARIE WILSON AGACNP-BC (NPI 1922401223) is an individual gerontology provider in Youngstown, Ohio, licensed in Ohio (APRN.CNP.16417) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1922401223
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE MARIE WILSONCredential: AGACNP-BC
Location Address1044 BELMONT AVEYoungstown, OH 44504-1006
Mailing Address9500 Euclid AveuneCleveland, OH 44195-0001
Phone(330) 747-6881
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 30, 2014
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1922401223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · APRN.CNP.16417
1044 BELMONT AVE, Youngstown, OH 44504
Open in Google Maps ↗

Other Identifiers 1

Medicaid0113609OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Nicole Marie Wilson Agacnp-bc 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 ID2769704592
PECOS Enrollment IDI20141206000339
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

2

Medicare enrollment records show Nicole Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Youngstown Specialty Care LLC
0.1 mi
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1609544055 (330) 746-7211
Mercy Health Physicians Youngstown, LLC
0.1 mi
Family Medicine
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 374 clinicians in this Medicare group
NPI 1154636066 (330) 746-7211

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

DR. MICHAEL ALLEN VAN WINKLE D.O
Internal Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3676
DANIEL PAUL SABO
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-7142
JANELLE RHODES
Pharmacist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3868
DONALD HUFF RD,LD
Dietitian, Registered
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7211
SHANNA MICHELE WIRTZ AG-ACNP
Student in an Organized Health Care Education/Training Program
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (000) 000-0000
MAHONING VALLEY EMERGENCY SPECIALISTS LLC
Emergency Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (844) 474-4019
DR. JOHN K SONTICH MD
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3990
ERIC HAYBARGER
Physical Therapist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7211

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 1922401223. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Nicole Wilson located?

Nicole Wilson practices at 1044 Belmont Ave, Youngstown, OH 44504. The listed phone number is (330) 747-6881.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Wilson enrolled in Medicare?

Yes. Nicole 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.

Which organizations bill Medicare for Nicole Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wilson reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and Mercy Health Physicians Youngstown, LLC (Youngstown, OH). 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 Nicole Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers 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.

Is Nicole Wilson affiliated with any hospitals?

According to CMS data, Nicole Wilson is affiliated with St Elizabeth Youngstown Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on October 11, 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.