NICOLE MARIE WILSON NP
NPI 1982316949
Nurse Practitioner - Family in Mansfield, OH

Active since December 21, 2022PECOS EnrolledAccepts Medicare Assignment
200 PARK AVE W, MANSFIELD, OH 44902(419) 522-2239 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, Mar 27, 2023, Dec 21, 2022 (3 updates tracked since 2022).

About Nicole Marie Wilson Np NPPES

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

NICOLE MARIE WILSON NP (NPI 1982316949) is an individual family provider in Mansfield, Ohio, licensed in Ohio (APRN.CNP.0032160) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982316949
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE WILSONCredential: NP
Location Address200 PARK AVE WMansfield, OH 44902-1608
Mailing Address200 Park Ave WMansfield, OH 44902-1608 · (419) 522-2239
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 21, 2022
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1982316949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0032160
200 PARK AVE W, Mansfield, OH 44902

Accepted 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

Nicole Marie Wilson 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 ID7214302157
PECOS Enrollment IDI20230407000307
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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
200 PARK AVE W
Mansfield, OH 44902
  • Reassigned Medicare billing, Ohio enrollment
  • 52 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44902 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

Family Medicine
200 PARK AVE W
MANSFIELD, OH 44902
Clinic/Center (Primary Care)
200 PARK AVE W
MANSFIELD, OH 44902
Clinic/Center (Primary Care)
200 PARK AVE W
MANSFIELD, OH 44902
Clinic/Center (Federally Qualified Health Center (FQHC))
200 PARK AVE W
MANSFIELD, OH 44902

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 Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1982316949. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Nicole Wilson located?

Nicole Wilson practices at 200 Park Ave W, Mansfield, OH 44902. The listed phone number is (419) 522-2239.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Wilson enrolled in Medicare?

Yes. Nicole 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 Nicole Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wilson reassigns Medicare benefits to Third Street Community Clinic Inc (Mansfield, OH). 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 Nicole Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Nicole 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 Nicole Wilson affiliated with any hospitals?

According to CMS data, Nicole Wilson is affiliated with Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.