Active NPI
Rachel A Wilcox, RN CNP
- Nurse Practitioner
- Benson, MN
National Provider Identifier
1639145402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0747282
- Practice address
- 1805 Wisconsin Ave
Benson, MN 56215 - Phone
- (320) 843-2030
- Fax
- (320) 314-1542
- NPI assigned
- Feb 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0747282 | MN | Primary |
Addresses
Primary practice location
1805 Wisconsin Ave
Benson, MN 56215
Mailing address
1805 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337483100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051011000991 | MN | Practitioner - Nurse Practitioner | 1254356991 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0747282 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swift County-Benson Hospital | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Swift County Benson Hospital | Current | Accepting new patients | |
| Great Plains Urology, PLLC | Past | Accepting new patients |
Locations
1810 McKinney Ave
Benson, MN 56215
Phone (320) 843-2030
1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Interoperability endpoints
- rwilcox436993@direct.centracare.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1598236408
-
- Family Medicine Physician
- Benson, MN
- NPI 1174077739
-
- Urology Physician
- Edina, MN
- NPI 1407154610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1639145402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 WISCONSIN AVE",
"city": "BENSON",
"state": "MN",
"postal_code": "56215",
"telephone_number": "320-843-2030",
"fax_number": "320-314-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 WISCONSIN AVE",
"city": "BENSON",
"state": "MN",
"postal_code": "56215",
"telephone_number": "320-843-2030",
"fax_number": "320-314-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "RACHEL",
"middle_name": "A",
"credential": "RN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R0747282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337483100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.