Individual provider Active NPI

Hailey L. Wilson, M.D.

  • Family Medicine Physician
  • Lapwai, ID
National Provider Identifier
1881006542
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5271551 Issued in ID
Practice address
111 Bever Grade
Lapwai, ID 83554-0367
Phone
(208) 843-2271
Fax
(208) 621-4995
NPI assigned
May 28, 2014
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5271551 ID Primary

Addresses

Primary practice location

111 Bever Grade
Lapwai, ID 83554-0367

Mailing address

111 Bever Grade
Lapwai, ID 83554-0367
Phone (208) 843-2271

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20171122002185 TX Practitioner - Family Practice 1759601990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nez Perce Tribal Health AuthorityGroup PAC ID 0941288302, 16 clinicians

Practice addresses (Care Compare)

111 Bever Grade Rd
Lapwai, ID 83540-0367

PO Box
Suite 367
Lapwai, ID 83540-0367

PO Drawer
Suite 367
Lapwai, ID 83540-0367

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5271551IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area CurrentSince Sep 19, 2017 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 19, 2017 Accepting new patients
Nez Perce Tribal Health Authority CurrentSince Aug 11, 2024 Accepting new patients

Locations

313 3Rd St
Nimiipuu Health
Kamiah, ID 83536
Phone (208) 621-4946

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1881006542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BEVER GRADE",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "835540367",
            "telephone_number": "208-843-2271",
            "fax_number": "208-621-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BEVER GRADE",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "835540367",
            "telephone_number": "208-843-2271",
            "fax_number": "208-621-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HAILEY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "5271551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapwai, ID

Sources for this page

Verify at the official NPI Registry.