NPIMap

Individual provider Active NPI

Yvonne F Wilson, M.D.

  • Internal Medicine Physician
  • Salem, NH
National Provider Identifier
1710927538
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223444 Issued in MA
Practice address
30 Tuscan Blvd
Salem, NH 03079-3981
Phone
(857) 282-8100
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T0383 NH
Internal Medicine Physician 207R00000X 223444 MA Primary

Addresses

Primary practice location

30 Tuscan Blvd
Salem, NH 03079-3981

Mailing address

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

Other identifiers 5

IdentifierTypeStateIssuer
30206294MedicaidNH
AA137776OtherNHHARVARD PILGRIM HEALTHCARE NE
3006934OtherNHMVP
2130424MedicaidMA
1710927538OtherNHANTHEM BCBS NH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000974 MA Practitioner - Internal Medicine 0547215998 Reassigns benefits to 2 organizations
I20090304000021 NH Practitioner - Internal Medicine 0547215998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223444MAMDInternal Medicine Physician
T0383NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 1, 2011 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2011 Accepting new patients
Foundation Medical Partners Inc. CurrentSince May 1, 2016 Accepting new patients
Foundation Medical Partners Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Mass General Brigham Medical Group, Inc. Internal Medicine CurrentSince Sep 6, 2022 Accepting new patients
Inpatient Physicians of Derry PLLC Past Accepting new patients
Essex Inpatient Physicians, PC PastSince Apr 13, 2013 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

62 Brown St
Ste 200
Haverhill, MA 01830
Phone (978) 478-5058

62 Brown St
Haverhill, MA 01830
Phone (978) 521-6555

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

70 East St
Methuen, MA 01844
Phone (978) 682-1906

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

30 Tuscan Blvd
#3
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: wilson.yvonne.mgbicare@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1710927538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TUSCAN BLVD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793981",
            "telephone_number": "857-282-8100",
            "fax_number": "781-653-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TUSCAN BLVD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793981",
            "telephone_number": "857-282-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "YVONNE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "T0383",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206294",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE NE",
            "identifier": "AA137776",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "3006934",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130424",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NH",
            "identifier": "1710927538",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.