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KENDALL WILSON MD
NPI 1922853431
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 18, 2024PECOS Enrolled
350 W 11TH ST FL 6, INDIANAPOLIS, IN 46202(317) 274-2476 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendall Wilson Md NPPES

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

KENDALL WILSON MD (NPI 1922853431) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922853431
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDALL WILSONCredential: MD
Location Address350 W 11TH ST FL 6Indianapolis, IN 46202-4108
Mailing Address350 W 11th St Fl 6Indianapolis, IN 46202-4108 · (317) 274-2476
Phone(317) 274-2476
Sole ProprietorNo
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1922853431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 W 11TH ST FL 6, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kendall Wilson's NPI number?

The NPI number for Kendall Wilson is 1922853431. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Kendall Wilson located?

Kendall Wilson practices at 350 W 11th St Fl 6, Indianapolis, IN 46202. The listed phone number is (317) 274-2476.

What is Kendall Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kendall Wilson enrolled in Medicare?

Yes. Kendall Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendall Wilson was last updated on April 18, 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.