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JOHN MICHAEL WILSON
NPI 1922785336
Physician Assistant in Omaha, NE

Active since June 28, 2023PECOS EnrolledAccepts Medicare Assignment
4214 DAVENPORT ST, OMAHA, NE 68131(330) 687-5108 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Michael Wilson NPPES

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

JOHN MICHAEL WILSON (NPI 1922785336) is an individual physician assistant in Omaha, Nebraska and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Great Plains Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922785336
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN MICHAEL WILSON
Location Address4214 DAVENPORT STOmaha, NE 68131-2242
Mailing Address4214 Davenport StOmaha, NE 68131-2242 · (330) 687-5108
Phone(330) 687-5108
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 28, 2023
Last NPPES UpdateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1922785336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4214 DAVENPORT ST, Omaha, NE 68131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

John Michael Wilson 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 ID3173045457
PECOS Enrollment IDI20250315000106
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.

Hospital Affiliations CMS Care Compare 2

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

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Ogallala Community Hospital

Critical Access Hospitals · Ogallala, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281355
Location2601 North Spruce StOgallala, NE 69153 · Keith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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 John Wilson's NPI number?

The NPI number for John Wilson is 1922785336. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is John Wilson located?

John Wilson practices at 4214 Davenport St, Omaha, NE 68131. The listed phone number is (330) 687-5108.

What is John Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Wilson enrolled in Medicare?

Yes. John 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.

What insurance does John Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list John 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 John Wilson affiliated with any hospitals?

According to CMS data, John Wilson is affiliated with Great Plains Health and Ogallala Community Hospital.

When was this NPI record last updated?

The NPPES record for John Wilson was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.