Lance T Wilson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DR.0050846 Issued in CO

Practice address

4323 Integrity Center PT
Colorado Springs, CO 80917-1683

Phone

(719) 591-2558

Fax

(719) 591-2596

NPI assigned

Aug 2, 2006

Last updated

Mar 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of New Mexico School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment Care Compare group
• MD Urgent Care PC

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1457521718
  NPD (past)
• NM Heart Emergency Physicians LLC

  • Emergency Medicine Physician
  • Albuquerque, NM
  • NPI 1467776641
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1750398707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 INTEGRITY CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171683",
            "telephone_number": "719-591-2558",
            "fax_number": "719-591-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 INTEGRITY CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171683",
            "telephone_number": "719-591-2558",
            "fax_number": "719-591-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3128 Don Quixote Dr NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871043007",
            "country_code": "US",
            "telephone_number": "505-243-5008",
            "fax_number": "505-244-8386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LANCE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0050846",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2001-124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G5508",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Evonne Wilson, M.S., R.D., PA-C
• Keyona M Wilson
• Kimberley Wilson
• Kimberly Wilson
• Kimberly Marie Wilson
• Latisha Janae Wilson, NMT
• Laura Elaine Wilson
• Lori B Wilson, RM
• Madelon Eley Wilson, PSYD, LPC
• Margaret Alanna Wilson, DPT

• Emergency Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.