MR. MATTHEW H. WILSON PMH-NP
NPI 1962545343
Nurse Practitioner - Psychiatric/Mental Health in Fort Kent, ME

Q: What is Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1962545343. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Matthew Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Wilson was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment

12 BOLDUC AVE, FORT KENT, ME 04743(207) 834-3971(207) 834-3837 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Matthew H. Wilson Pmh-np NPPES

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

MR. MATTHEW H. WILSON PMH-NP (NPI 1962545343) is an individual psychiatric/mental health provider in Fort Kent, Maine, licensed in Maine (R050669) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Eagle Lake, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1962545343

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. MATTHEW H. WILSONCredential: PMH-NP

Location Address12 BOLDUC AVEFort Kent, ME 04743-1602

Mailing Address12 Bolduc AveFort Kent, ME 04743-1602 · (207) 834-3971 · Fax (207) 834-3837

Phone(207) 834-3971

Fax(207) 834-3837

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 15, 2007

Last NPPES UpdateJanuary 19, 2022

NPPES CertifiedJanuary 19, 2022

✔ NPI 1962545343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ME · R050669

12 BOLDUC AVE, Fort Kent, ME 04743

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Secondary Practice Location 1

Location 110 Carter StEagle Lake, ME 04739-3060 · Phone (207) 444-5973 · Fax (207) 444-5520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mr. Matthew H. Wilson Pmh-np 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 ID648430637

PECOS Enrollment IDI20120329000041

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04743 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FISH RIVER RURAL HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))