What is Mark Wilson's NPI number?

Mark Wilson's National Provider Identifier (NPI) is 1770397853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Wilson's specialty?

Mark Wilson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Mark Wilson located?

Mark Wilson's practice location on file with NPPES is 98 Pine Neck Ave, E Patchogue, NY 11772-5730.

What is Mark Wilson's phone number?

The practice phone number listed in the NPPES registry for Mark Wilson is (631) 901-2767.

Is Mark Wilson's NPI active?

Yes — Mark Wilson's NPI (1770397853) is active in the NPPES registry as of the last update on 2025-02-21.

IndividualActive

Mark Wilson, CRPA PROVISIONAL

NPI 1770397853 · Peer Specialist · E Patchogue, NY

Mark Wilson, CRPA PROVISIONAL is a Peer Specialist provider in E Patchogue, NY (NPI 1770397853).

Provider details

NPI number: 1770397853
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: CRPA PROVISIONAL
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% 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

98 Pine Neck Ave

E Patchogue, NY 11772-5730

Phone: (631) 901-2767

Street-level locationGet directions

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Mailing address