Nicholas Robert Wilson, MSN, AGANCP-BC is a medicare enrolled "Nurse Practitioner" physician in Rochester, Minnesota. His current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 284-2511.
Nicholas Robert Wilson is licensed to practice in Minnesota (license number 10804) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568140614.
Physician's Profile
Full Name | Nicholas Robert Wilson |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 200 1st St Sw, Rochester, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568140614
- Provider Enumeration Date: 07/10/2023
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012363609
- Enrollment ID: I20231102002974
Medical Identifiers
Medical identifiers for Nicholas Robert Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568140614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0127X | Surgery - Trauma Surgery | H174968 (Iowa) | Secondary |
363L00000X | Nurse Practitioner | 10804 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Robert Wilson allows following entities to bill medicare on his behalf.
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Robert Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicholas Robert Wilson, MSN, AGANCP-BC 200 1st St Sw, Rochester, MN 55905-0002 Ph: (507) 284-2511 | Nicholas Robert Wilson, MSN, AGANCP-BC 200 1st St Sw, Rochester, MN 55905-0002 Ph: (507) 284-2511 |
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