NPIMap

Individual provider Active NPI

Michael A Wilson, MD

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1003836784
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD04244L Issued in PA
Practice address
4222 Lincoln Hwy
York, PA 17406-8083
Phone
(717) 812-2050
Fax
(717) 812-2052
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD04244L PA Primary

Addresses

Primary practice location

4222 Lincoln Hwy
York, PA 17406-8083

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-2050

Other identifiers 17

IdentifierTypeStateIssuer
20054653OtherPAAH MERCY-WMG READYCARE
740064OtherPAHIGHMARK BLUE SHIELD
01105903OtherPACAPITAL BC-WMG SBFM
543248OtherMDCAREFIRST MD BCBS
81027OtherPAUNISON-WMG SBFM
50062680OtherPACAPITAL BC-WMG READYCARE
1567482OtherPAGATEWAY WRC
186107OtherPAUNISON-WMG READYCARE
233297OtherPAMAMSI-WMG SBFM
5274049OtherPAAETNA
001409263MedicaidPA
030026OtherPAJOHNS HOPKINS
P002807OtherPAGATEWAY-WMG
1142442OtherPAAH MERCY-WMG SBFM
2161250OtherPAMAMSI-WMG READYCARE
38597OtherPAGEISINGER
740064OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000543 PA Practitioner - Family Practice 2466349345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

4222 Lincoln Hwy
York, PA 17406-8083
Phone (717) 812-2050

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Harrisburg, PA, CCN 397770
  • Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
  • Enhabit Home Health Home health agency, York, PA, CCN 398025
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions22
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD04244LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jun 14, 1993 Accepting new patients
Wellspan Medical Group CurrentSince Jun 14, 1993 Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

4222 Lincoln Hwy
York, PA 17406
Phone (717) 812-2050

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • OH PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

  • Direct secure messaging: michael.a.wilson@upmcdirect.com
  • Direct secure messaging: mwilson13699@wellspan.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1003836784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-2050",
            "fax_number": "717-812-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 LINCOLN HWY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174068083",
            "telephone_number": "717-812-2050",
            "fax_number": "717-812-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD04244L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AH MERCY-WMG READYCARE",
            "identifier": "20054653",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "740064",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC-WMG SBFM",
            "identifier": "01105903",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "543248",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG SBFM",
            "identifier": "81027",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC-WMG READYCARE",
            "identifier": "50062680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY WRC",
            "identifier": "1567482",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG READYCARE",
            "identifier": "186107",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI-WMG SBFM",
            "identifier": "233297",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5274049",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001409263",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "030026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "P002807",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AH MERCY-WMG SBFM",
            "identifier": "1142442",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI-WMG READYCARE",
            "identifier": "2161250",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "38597",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "740064",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.