NPIMap

Organization Active NPI

Wilcox Group

  • Contractor
  • Bellevue, NE
National Provider Identifier
1063376986
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
WILCOX GROUP
Practice address
2604 Jack Pine St
Bellevue, NE 68123-1513
Phone
(253) 222-3703
NPI assigned
Dec 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Ivan WilcoxNPI 1811875875
Title
Owner
Phone
(253) 222-3703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

2604 Jack Pine St
Bellevue, NE 68123-1513

Mailing address

2604 Jack Pine St
Bellevue, NE 68123-1513
Phone (253) 222-3703

National Provider Directory

National Provider Directory
Tax ID family
Wilcox Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1063376986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 JACK PINE ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231513",
            "telephone_number": "253-222-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 JACK PINE ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231513",
            "telephone_number": "253-222-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-222-3703"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.