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MRS. DAWN MARIE WILSON R.D.
NPI 1962648238
Dietitian, Registered in Lacey, WA

Active since December 16, 2008Accepts Medicare Assignment
3702 LONG LAKE DR SE, LACEY, WA 98503(360) 239-9186(360) 464-9999 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Dawn Marie Wilson R.d. NPPES

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

MRS. DAWN MARIE WILSON R.D. (NPI 1962648238) is an individual dietitian, registered in Lacey, Washington, licensed in Washington (953643) and active in the NPI registry since December 2008. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1962648238
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. DAWN MARIE WILSONCredential: R.D.
Location Address3702 LONG LAKE DR SELacey, WA 98503-4056
Mailing Address700 Sleater Kinney Rd. Se, Ste B#227Lacey, WA 98503 · (360) 239-9186
Phone(360) 239-9186
Fax(360) 464-9999
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 16, 2008
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1962648238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · 953643
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3702 LONG LAKE DR SE, Lacey, WA 98503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Mrs. Dawn Marie Wilson R.d. 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 ID1153460365
PECOS Enrollment IDI20091201000646

Medicare Billing Reassignment

Medicare enrollment records show Dawn Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sound Nutrition Dynamics
Same address
Dietitian, Registered
3702 LONG LAKE DR SE
Lacey, WA 98503
  • Reassigned Medicare billing, Washington enrollment
NPI 1861822082 (360) 239-9186

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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

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

SOUND NUTRITION DYNAMICS
Dietitian, Registered
3702 LONG LAKE DR SE
LACEY, WA 98503
Thurston County (360) 239-9186

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 Dawn Wilson's NPI number?

The NPI number for Dawn Wilson is 1962648238. It was assigned to this individual provider in the NPPES registry on December 16, 2008.

Where is Dawn Wilson located?

Dawn Wilson practices at 3702 Long Lake Dr SE, Lacey, WA 98503. The listed phone number is (360) 239-9186.

What is Dawn Wilson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Dawn Wilson enrolled in Medicare?

Yes. Dawn 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.

Which organization bills Medicare for Dawn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Wilson reassigns Medicare benefits to Sound Nutrition Dynamics (Lacey, WA). The 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 Dawn Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Wilson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Dawn 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.

When was this NPI record last updated?

The NPPES record for Dawn Wilson was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.