NPIMap

Individual provider Active NPI

Nkechinyere N Wilson, NP

  • Family Nurse Practitioner
  • Dorchester, MA
National Provider Identifier
1780982884
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1010238 Issued in MA
Practice address
1353 Dorchester Ave
Dorchester, MA 02122-2932
Phone
(617) 288-3230
Fax
(617) 740-2462
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1010238 MA Primary

Addresses

Primary practice location

1353 Dorchester Ave
Dorchester, MA 02122-2932

Mailing address

58 Division St
Brockton, MA 02301-2760
Phone (508) 269-8227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000564 MA Practitioner - Nurse Practitioner 6002085032 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dothouse Health Inc.Group PAC ID 8729991021, 51 clinicians

Practice addresses (Care Compare)

1353 Dorchester Ave
Dorchester, MA 02122-2932
Phone (617) 288-3230

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1010238MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Jun 1, 2011 Accepting new patients
Uhs of Fuller Inc CurrentSince Jul 5, 2022 Accepting new patients
Ez Health and Hospice Care LLC. CurrentSince Jan 26, 2020 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Nov 21, 2016 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Current Accepting new patients
Dothouse Health Inc. CurrentSince Oct 1, 2024 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Jul 1, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Family CurrentSince Nov 21, 2016 Accepting new patients

Locations

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

1353 Dorchester Ave
Dorchester, MA 02122
Phone (617) 288-3230

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

200 May St
South Attleboro, MA 02703
Phone (508) 761-8500

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

Interoperability endpoints

  • Direct secure messaging: nwilson238569@direct.bmc.masshiway.net

Organizations & group practices 8

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1780982884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 DIVISION ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012760",
            "telephone_number": "508-269-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222932",
            "telephone_number": "617-288-3230",
            "fax_number": "617-740-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NKECHINYERE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F1010238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.