Active NPI
Nicole April Wilson, PH.D., M.D.
- Pediatric Surgery Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 45923
- Practice address
- 1200 Childrens Ave Ste 2E
Oklahoma City, OK 73104-4637 - Phone
- (405) 271-5789
- Fax
- (405) 271-1643
- NPI assigned
- Jun 23, 2013
- Last updated
- Sep 17, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 45923 | OK | Primary |
| Pediatric Surgery Physician | 2086S0120X | 304415 | NY |
Addresses
Primary practice location
1200 Childrens Ave Ste 2E
Oklahoma City, OK 73104-4637
Mailing address
1200 Childrens Ave Ste 2E
Oklahoma City, OK 73104-4637
Phone (405) 271-5789
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304415 | Other | NY | STATE OF NEW YORK |
| 2018008652 | Other | MO | STATE OF MISSOURI |
| 06055958 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rush Medical College of Rush University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
940 NE 13TH St
Oklahoma City, OK 73104-5008
Phone (405) 271-6625
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304415 | NY | MD | Pediatric Surgery Physician |
| 45923 | OK | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| University of Rochester Surgical Associates | Pediatric Surgery | Current | Accepting new patients |
| University of Rochester | Past | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
1200 Childrens Ave
Ste 2E
Oklahoma City, OK 73104
Phone (405) 271-4864
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Organizations & group practices 5
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.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Transplant Surgery Physician
- Rochester, NY
- NPI 1740205566
Pediatric Surgery
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1336588326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CHILDRENS AVE STE 2E",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044637",
"telephone_number": "405-271-5789",
"fax_number": "405-271-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CHILDRENS AVE STE 2E",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044637",
"telephone_number": "405-271-5789",
"fax_number": "405-271-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "NICOLE",
"middle_name": "APRIL",
"name_prefix": "Dr.",
"credential": "PH.D., M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-23",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OK",
"license": "45923",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "304415",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW YORK",
"identifier": "304415",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MISSOURI",
"identifier": "2018008652",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06055958",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.