Mirabella Lucia Wilson, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

2530 Chicago Ave Ste 450
Minneapolis, MN 55404-4127

Phone

(612) 874-1292

NPI assigned

May 12, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Qualified Audiologist

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Childrens Health Care Services Inc

  dba Childrens Minnetonka

  • Ambulatory Surgical Clinic/Center
  • Minnetonka, MN
  • NPI 1952405284
  NPD (past)

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1588592372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE 450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044127",
            "telephone_number": "612-874-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE 450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044127",
            "telephone_number": "612-874-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MIRABELLA",
        "middle_name": "LUCIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark M Wilson, D.D.S.
• Mary Wilson
• Mathias Wilson, RN
• Melissa Wilson, CNP
• Michelle A Wilson
• Nancy Jane Wilson, MS, OTR/L
• Rebecca Brianna Buechler Wilson, MD
• Richard Alan Wilson, M.D.
• Robert F Wilson, MD
• Sabana Wilson

• Audiologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.