WILSON MAK FNP
NPI 1922427665
Nurse Practitioner - Family in Modesto, CA
About Wilson Mak Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILSON MAK FNP (NPI 1922427665) is an individual family provider in Modesto, California, licensed in California (95000312) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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
Wilson Mak Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Wilson Mak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 21 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 95354 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
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wilson Mak's NPI number?
The NPI number for Wilson Mak is 1922427665. It was assigned to this individual provider in the NPPES registry on April 9, 2014.
Where is Wilson Mak located?
Wilson Mak practices at 1114 6th St, Modesto, CA 95354. The listed phone number is (209) 576-2845.
What is Wilson Mak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Wilson Mak enrolled in Medicare?
Yes. Wilson Mak 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 Wilson Mak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Mak reassigns Medicare benefits to 2 organizations: Carbon Health Medical Group Of California PC (Berkeley, CA) and Carbon Health Primary Care Of California PC (Berkeley, 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 Wilson Mak'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 Wilson Mak was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Wilson Mak, FNP · NPI 1922427665
Family physician in Modesto, California. Individual provider, active in the CMS NPPES registry since April 9, 2014.
## Identity
- **NPI:** 1922427665 (Entity type: Individual)
- **Enumerated:** April 9, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95000312 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1114 6TH ST, Modesto, CA 95354-2203
- **Phone:** (209) 576-2845 · **Fax:** (209) 576-8842
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carbon Health Medical Group Of California PC (NPI 1417294232, Berkeley, CA); Carbon Health Primary Care Of California PC (NPI 1972057990, Berkeley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1922427665) · Data from the CMS NPPES public registry.