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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MACEY WILSON
NPI 1962380477
Peer Specialist in Jay, OK

Active since August 22, 2025
1015 W WASHBOURNE ST, JAY, OK 74346(844) 458-2100 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Macey Wilson NPPES

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

MACEY WILSON (NPI 1962380477) is an individual peer specialist in Jay, Oklahoma and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1962380477
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMACEY WILSON
Location Address1015 W WASHBOURNE STJay, OK 74346-4205
Mailing Address611 N 4th StStilwell, OK 74960-2417 · (918) 696-6212 · Fax (918) 696-6213
Phone(844) 458-2100
Sole ProprietorNo
Enumeration DateAugust 22, 2025
Last NPPES UpdateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1962380477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1015 W WASHBOURNE ST, Jay, OK 74346
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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.

TRAVIS VIRON KERSH
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
JADE ALEXANDRIA FRAZIER RN
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
ALISHA DAWN HUGHES
Behavior Analyst
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
ANDREW C WICKLINE
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 868-7489
ELIZABETH BUCHANAN
Counselor (Mental Health)
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
MRS. KRISTEN LEANN BOLDRA
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
KARLIE ROSE BUSH LPN
Licensed Practical Nurse
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
DR. STEFAN SHANE HACKER DDS
Dentist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 253-8696

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 Macey Wilson's NPI number?

The NPI number for Macey Wilson is 1962380477. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Macey Wilson located?

Macey Wilson practices at 1015 W Washbourne St, Jay, OK 74346. The listed phone number is (844) 458-2100.

What is Macey Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Macey Wilson was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.