Benjamin Wilson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2015010966 Issued in MO

Practice address

800 S Ash St
Nevada, MO 64772-3223

Phone

(417) 667-3355

NPI assigned

Apr 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Family PracticeAlso: Sports Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nevada Regional Medical Center Hospital, Nevada, MO, CCN 260061

Merit-based Incentive Payment System (MIPS)

Final score

78.89 of 100Reported as group

Quality

50.25

Promoting interoperability

90

Improvement activities

40

Cost

81.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nevada City Hospital

  • Rural Acute Care Hospital
  • Nevada, MO
  • NPI 1942283866
  Medicare reassignment Care Compare group NPD
• Nevada City Hospital

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1730805136
  NPD
• Nevada City Hospital

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1427385517
  NPD (past)
• Randall Kunze DPM LLC

  • Podiatric Clinic/Center
  • Carthage, MO
  • NPI 1326121633
  NPD (past)

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

• Nevada City Hospital

  • Surgery Physician
  • Nevada, MO
  • NPI 1164754859

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  • Surgery Physician
  • Nevada, MO
  • NPI 1205164753

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  • General Practice Physician
  • Nevada, MO
  • NPI 1689904336

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  • Rural Acute Care Hospital
  • Nevada, MO
  • NPI 1942283866
  Care Compare affiliation

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1417247644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723218",
            "telephone_number": "417-667-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723223",
            "telephone_number": "417-667-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015010966",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emelia S. Whiteaker, ATC, PES
• Christine Renee Whitworth, LPC
• Wilkinson Pharmacy, Inc
• Janice Lou Williams, LPC, RPT
• Shirley Willmon, LPC
• Robert Wilson, RPH
• Gayle Lynn Woody, RN
• Jenny Marie Wright
• Maria Wylde-Veit, LMSW
• Alyson Wysong-Harder, M.S.W.

• Family Medicine Physician in Nevada, MO
• Providers in Nevada, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.

Verify at the official NPI Registry.