Wilson Real, RN, BSN
NPI 1629792239 · Psychiatric/Mental Health Nurse Practitioner · Portland, OR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wilson Real, RN, BSN is a Psychiatric/Mental Health Nurse Practitioner provider in Portland, OR (NPI 1629792239).
Provider details
- NPI number
- 1629792239
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, BSN
- Sex
- Male
- Sole proprietor
- No
- License
- 10023691 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-27
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Frequently asked questions
- What is Wilson Real's NPI number?
- Wilson Real's National Provider Identifier (NPI) is 1629792239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wilson Real's specialty?
- Wilson Real is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wilson Real located?
- Wilson Real's practice location on file with NPPES is 3550 N Interstate Ave, Portland, OR 97227.
- What is Wilson Real's phone number?
- The practice phone number listed in the NPPES registry for Wilson Real is (503) 813-2000.
- Does Wilson Real accept Medicare?
- Wilson Real is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wilson Real's NPI active?
- Yes — Wilson Real's NPI (1629792239) is active in the NPPES registry as of the last update on 2024-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.