Individual provider Active NPI

Megan Nicole Wilson, NP-C

  • Primary Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1225590888
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5011634 Issued in NC
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

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517001801 NC Practitioner - Nurse Practitioner 6800205139 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011634NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner Group LLC CurrentSince Dec 12, 2022 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince May 10, 2021 Accepting new patients
Eon Care Services, LLC CurrentSince Aug 6, 2024 Accepting new patients
CHS Anesthesia Services Group Inc PastSince Oct 25, 2020 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.

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

Verify at the official NPI Registry.