NPIMap

Individual provider Active NPI

Joshua Bryce Wilson, M.D.

  • Dermatology Physician
  • West Des Moines, IA
National Provider Identifier
1447373832
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
37211 Issued in IA
Practice address
6000 University Ave Ste 450
West Des Moines, IA 50266-8229
Phone
(515) 241-2000
Fax
(515) 241-2005
NPI assigned
Apr 9, 2007
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 37211 IA Primary
MOHS-Micrographic Surgery Physician 207ND0101X 37211 IA

Addresses

Primary practice location

6000 University Ave Ste 450
West Des Moines, IA 50266-8229

Mailing address

12402 Lincoln Ave
Clive, IA 50325-8138
Phone (515) 360-0062

Other identifiers 1

IdentifierTypeStateIssuer
1447373832OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000028 IA Practitioner - Dermatology 6901959220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology PCGroup PAC ID 8426945742, 15 clinicians

Practice addresses (Care Compare)

6000 University Ave
Suite 450
West Des Moines, IA 50266-8229
Phone (515) 241-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision159
Removal of skin lesions2613
Removal of skin cancer672
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy1079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37211IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology, PC Mohs-Micrographic Surgery CurrentSince Jul 1, 2009 Accepting new patients

Locations

2006 N 4th St
Ste 100
Indianola, IA 50125
Phone (515) 241-2000

6000 University Ave
Ste 450
West Des Moines, IA 50266
Phone (515) 241-2000

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1447373832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 LINCOLN AVE",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258138",
            "telephone_number": "515-360-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE STE 450",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668229",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSHUA",
        "middle_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "37211",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IA",
            "license": "37211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1447373832",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.