Nina Marie Wilson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APRNCNM0019444 Issued in OH

Practice address

100 Lillian Gish Blvd SW Ste 201
Massillon, OH 44647-6500

Phone

(330) 809-0460

Fax

(330) 809-0560

NPI assigned

Mar 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nina.wilson@ohe016.digichart.direct-ci.com
• Direct secure messaging: nwilson237880@ehrdirect.uhhospitals.org

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.

• Nicholas E Sherock Jr DO LLC

  • Obstetrics & Gynecology Physician
  • Orrville, OH
  • NPI 1700193810

  Single Specialty

  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Single Specialty

  Medicare reassignment NPD
• Diane Flanigen MD Eye Care PC

  • Ophthalmology Physician
  • Williamsville, NY
  • NPI 1215105101

  Single Specialty

  NPD (past)
• Maple Internal Medicine & Pediatrics, PLLC

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1578520854

  Single Specialty

  NPD (past)
• Multicare Health System

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1407808413

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1962479709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LILLIAN GISH BLVD SW STE 201",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476500",
            "telephone_number": "716-631-8212",
            "fax_number": "716-631-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LILLIAN GISH BLVD SW STE 201",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476500",
            "telephone_number": "330-809-0460",
            "fax_number": "330-809-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRNCNM0019444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Lyn Williams
• Scott D. Williams, M.D.
• Mary G Willis
• Sarina Wills
• Lynne Ellen Wilson, CNP
• Reona Capri Wilson
• Theresa O Wilson, LISW-S, SAP
• Brian E Wind, D.O.
• Kelley Sue Winland, DSP
• Elisabeth Ashley Wirth

• Advanced Practice Midwife in Massillon, OH
• Providers in Massillon, OH by specialty
• Advanced Practice Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.