Individual provider Active NPI

Addison P Wilson, AU.D.

  • Audiologist
  • Edmond, OK
National Provider Identifier
1770221079
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6597 Issued in OK
Practice address
2405 S Bryant Ave Ste 100
Edmond, OK 73013-6169
Phone
(405) 340-9191
Fax
(405) 340-9185
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6597 OK Primary

Addresses

Primary practice location

2405 S Bryant Ave Ste 100
Edmond, OK 73013-6169

Mailing address

2405 S Bryant Ave Ste 100
Edmond, OK 73013-6169
Phone (405) 340-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224004229 OK Practitioner - Qualified Audiologist 0345721684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Oklahoma College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Hearing SolutionsGroup PAC ID 1456420041, 6 clinicians

Practice addresses (Care Compare)

1601 Health Ctr Pkwy
Suite 800
Yukon, OK 73099-7882
Phone (405) 265-1133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6597OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Hearing Solutions Audiologist CurrentSince Jan 18, 2026 Accepting new patients
Carson Hearing Care, LLC Audiologist CurrentSince May 29, 2022 Accepting new patients

Locations

2405 S Bryant Ave
Ste 100
Edmond, OK 73013
Phone (405) 340-9191

1601 Health Center Pkwy
Ste 800
Yukon, OK 73099
Phone (405) 265-1133

5104 Camp Bowie Blvd
Fort Worth, TX 76107
Phone (817) 737-4327

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1770221079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 S BRYANT AVE STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136169",
            "telephone_number": "405-340-9191",
            "fax_number": "405-340-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 S BRYANT AVE STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136169",
            "telephone_number": "405-340-9191",
            "fax_number": "405-340-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADDISON",
        "middle_name": "P",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "6597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.