Dr Nicole April Wilson, PHD, MD in Oklahoma City, OK

Dr Nicole April Wilson, PHD, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Oklahoma City, Oklahoma. Her current practice location is 1200 Childrens Ave Ste 2e, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 271-5789.

Dr Nicole April Wilson is licensed to practice in Oklahoma (license number 45923) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336588326.

Contact Information

	Dr Nicole April Wilson, PHD, MD
	1200 Childrens Ave Ste 2e, Oklahoma City, OK 73104-4637
	(405) 271-5789
	(405) 271-1643

Map and Direction

Physician's Profile

Full Name	Dr Nicole April Wilson
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	1200 Childrens Ave Ste 2e, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336588326
Provider Enumeration Date: 06/23/2013
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 8426474891
Enrollment ID: I20200814002695

Medical Identifiers

Medical identifiers for Dr Nicole April Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336588326	NPI	-	NPPES
2018008652	Other	MO	STATE OF MISSOURI
304415	Other	NY	STATE OF NEW YORK
06055958	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	45923 (Oklahoma)	Primary
2086S0120X	Surgery - Pediatric Surgery	304415 (New York)	Secondary

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. Dr Nicole April Wilson allows following entities to bill medicare on her behalf.

Entity Name	University Of Rochester Surgical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740205566 PECOS PAC ID: 8022919232 Enrollment ID: O20040120000191

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. Dr Nicole April 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
Dr Nicole April Wilson, PHD, MD 1200 Childrens Ave Ste 2e, Oklahoma City, OK 73104-4637 Ph: (405) 271-5789	Dr Nicole April Wilson, PHD, MD 1200 Childrens Ave Ste 2e, Oklahoma City, OK 73104-4637 Ph: (405) 271-5789

Reviews and Comments

Surgery Doctors in Oklahoma City, OK

Dr. Beverly Jean Talbert, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St, Oupb5350, Oklahoma City, OK 73104 Phone: 405-271-4864 Fax: 405-271-1643
Justin Van Hoorebeke, MD Surgery Medicare: Medicare Enrolled Practice Location: 825 Ne 10th St # Street1g, Oklahoma City, OK 73104 Phone: 405-271-2220
Michael Taylor Heath, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6308
Dr. Teresa Marie Shavney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Nw Expressway, Suite 420, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936
Dr. Mary Kathleen Lindemuth, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10900 Hefner Pointe Dr, Oklahoma City, OK 73120 Phone: 405-552-0400 Fax: 405-752-4251
Stephen Thomas Mahoney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 800, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936
Juan Claros-sorto, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6308

Dr Nicole April Wilson, PHD, MD - Medicare Surgery in Oklahoma City, OK