Nicole Wilson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0034508 Issued in MI

Practice address

950 W Wooster St
Bowling Green, OH 43402-2603

Phone

(419) 354-8900

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By the provider in NPPES

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

Enrolled in OH, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: nwilson2804535@direct.bsmhealth.org

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.

• Mercy Health Urgent Care LLC

  • Family Medicine Physician
  • Milford, OH
  • NPI 1588390942
  Medicare reassignment Care Compare group NPD
• Ultimate Care Emergency Physicians LLC

  • Emergency Medicine Physician
  • Bowling Green, OH
  • NPI 1083202816
  Medicare reassignment NPD
• Battle Creek Urgent Care Walk in Clinic PC

  • Urgent Care Clinic/Center
  • Battle Creek, MI
  • NPI 1700539251
  Medicare reassignment NPD
• Chelsea Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Chelsea, MI
  • NPI 1811568272
  Medicare reassignment NPD
• Lambertville Urgent Care Walk in Clinic

  • Urgent Care Clinic/Center
  • Lambertville, MI
  • NPI 1043958473
  Medicare reassignment NPD
• Main St Urgent Care Clinic and Walk in Clinic PC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1447825351
  Medicare reassignment NPD
• MD Urgent Care Ann Arbor PC

  • Urgent Care Clinic/Center
  • Ann Arbor, MI
  • NPI 1649984568
  Medicare reassignment NPD
• Plainwell Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Plainwell, MI
  • NPI 1356014567
  Medicare reassignment NPD
• Tecumseh Urgent Care and Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Tecumseh, MI
  • NPI 1245849298
  Medicare reassignment NPD
• Mercy Health Urgent Care Mi PLLC

  • Family Medicine Physician
  • Monroe, MI
  • NPI 1902624455
  Medicare reassignment

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

• Mercy Health - St Vincent Medical Center LLC

  dba Mercy Health St Vincent Medical Center

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1700567591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 MORIN POINT ST",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339616",
            "telephone_number": "734-652-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-354-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "APRN.CNP.0034508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Irene Williams
• Bret Allen Williamson, LCDC III
• Annie Wilson, LPC
• Jasmine Imani Wilson, M.S., CF-SLP
• Martin R Wilson, AM
• Sandra Desilvio Witt, DPM
• Stephanie Elizabeth Witters, PHARM D
• Tara Jane Woggon, LPN
• Edward Joseph Wojciechowski, M.D.
• Thomas E Wojciechowski Sr., MD

• Nurse Practitioner in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.