Individual provider Active NPI

Nicholas Paul Wilson, M.D.

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1285840801
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
30687 Issued in NE
Practice address
Emile @ 42ND St
Omaha, NE 68198-4455
Phone
(402) 559-4081
Fax
(402) 559-7372
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 04-33688 KS
Anesthesiology Physician 207L00000X 2009007677 MO
Anesthesiology Physician 207L00000X 30687 NE Primary

Addresses

Primary practice location

Emile @ 42ND St
Omaha, NE 68198-4455

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Other practice location 1

8800 Ballentine St
Overland Park, KS 66214-1900
Phone (913) 363-2663

Other practice location 2

1318 E 104th St
Kansas City, MO 64131-4504
Phone (816) 256-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091001000059 MO Practitioner - Anesthesiology 1658417845 Reassigns benefits to 9 organizations
I20170324000765 KS Practitioner - Anesthesiology 1658417845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians
St Lukes East Anesthesia Services PCGroup PAC ID 1850333477, 44 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5097

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-2819

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

211 NE 54TH St
Suite 100
Kansas City, MO 64118-4337
Phone (469) 863-9978

4940 W 137TH St
Leawood, KS 66224-5940
Phone (469) 863-9978

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-33688KSMDAnesthesiology Physician
2009007677MOMDAnesthesiology Physician
30687NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jan 19, 2026 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC Anesthesiology CurrentSince May 12, 2025 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jan 19, 2026 Accepting new patients
Cass Regional Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Dynamos Anesthesia Services LLC Anesthesiology CurrentSince Feb 23, 2025 Accepting new patients
Northstar Anesthesia of Missouri, LLC Anesthesiology CurrentSince Feb 7, 2023 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
St Lukes East Anesthesia Services,P.C. Anesthesiology CurrentSince Jun 15, 2020 Accepting new patients
St Joseph Anesthesia Services, P.C. Past Accepting new patients

Locations

3550 S 4th St
Leavenworth, KS 66048
Phone (800) 903-2088

4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846

8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111

203 W Road Mize Rd
Ste 218
Blue Springs, MO 64014
Phone (816) 874-4181

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1318 E 104th St
#C
Kansas City, MO 64131
Phone (816) 256-5200

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1318 E 104th St
Kansas City, MO 64131
Phone (816) 256-5200

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: nwilson229751@direct.saint-lukes.org

Organizations & group practices 12

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 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1285840801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE @ 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681984455",
            "telephone_number": "402-559-4081",
            "fax_number": "402-559-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Ballentine St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662141900",
            "country_code": "US",
            "telephone_number": "913-363-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1318 E 104th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641314504",
            "country_code": "US",
            "telephone_number": "816-256-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "04-33688",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2009007677",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "30687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.