Individual provider Active NPI

Nicholas J. Wilson, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1265484596
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD424793 Issued in PA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
May 16, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD424793 PA Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME, NH, CO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050829000066 PA Practitioner - Diagnostic Radiology 2163453283 Reassigns benefits to 9 organizations
I20210216001684 ME Practitioner - Diagnostic Radiology 2163453283 Reassigns benefits to 2 organizations
I20210611002054 NH Practitioner - Diagnostic Radiology 2163453283 Reassigns benefits to 1 organization
I20250829000672 CO Practitioner - Diagnostic Radiology 2163453283 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Toledo College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1002 Oakford Woods
Clarks Summit, PA 18411-8734
Phone (952) 595-1100

15 Terre LN
Danville, PA 17821-8841
Phone (585) 218-8012

201 State St
Erie, PA 16550-0001
Phone (814) 877-6000

28 Covington Dr
Englewood, CO 80113-4145
Phone (952) 595-1100

3701 Arapahoe Ave
Unit 318
Boulder, CO 80303-3303
Phone (888) 972-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Feb 26, 2021 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2005 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 24, 2019 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Regional Health Services Inc CurrentSince Jun 1, 2025 Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Geisinger Clinic Current Accepting new patients
Houlton Regional Hospital CurrentSince Feb 26, 2021 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Sep 24, 2019 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Dec 24, 2023 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2005 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Geisinger Clinic Past Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology Past Accepting new patients
Central Pennsylvania MRI Center Diagnostic Radiology Past Accepting new patients
Geisinger Clinic Selinsgrove Diagnostic Radiology Past Accepting new patients
Evangelical Rad Assoc LTD Diagnostic Radiology Past Accepting new patients
Geisinger Clinic Diagnostic Radiology Past Accepting new patients

Locations (25 of 27)

26999 Network Pl
Chicago, IL 60673

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320

42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660

4203 Hospital Rd
Coal Township, PA 17866
Phone (570) 486-4588

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

201 State St
Erie, PA 16550
Phone (814) 877-2137

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

155 S Arch St
Ste B
Milton, PA 17847
Phone (570) 742-2655

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870

12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

105 W Main St
Valley View, PA 17983
Phone (570) 682-3136

Interoperability endpoints

  • Direct secure messaging: njwilson@direct.carene.org
  • Direct secure messaging: nwilson270604@upmc.direct-ci.com

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1265484596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NICHOLAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD424793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.