Active NPI
Megan Nicole Wilson, NP-C
- Primary Care Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 5011634
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-2000
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5011634 | NC | |
| Primary Care Nurse Practitioner | 363LP2300X | 5011634 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
310 Arlington Ave Unit 418
Charlotte, NC 28203-4294
Phone (336) 413-7792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011634 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Practitioner Group LLC | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Eon Care Services, LLC | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Past | Accepting new patients |
Locations
151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090
20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
286 W Millbrook Rd
Unit 1E
Raleigh, NC 27609
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1649879644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1225590888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ARLINGTON AVE UNIT 418",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034294",
"telephone_number": "336-413-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MEGAN",
"middle_name": "NICOLE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5011634",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5011634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.