Nicole Wilson, M.D.
NPI 1770903015 · Pediatrics Physician · Woodbury, MN
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Wilson, M.D. is a Pediatrics Physician provider in Woodbury, MN (NPI 1770903015).
Provider details
- NPI number
- 1770903015
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2450 Riverside Ave6th Floor, East BuildingMinneapolis, MN 55454-1450Phone: (612) 624-4418
Registry dates
- Enumerated
- 2014-04-25
- Last updated
- 2022-07-21
Frequently asked questions
- What is Nicole Wilson's NPI number?
- Nicole Wilson's National Provider Identifier (NPI) is 1770903015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wilson's specialty?
- Nicole Wilson is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Nicole Wilson located?
- Nicole Wilson's practice location on file with NPPES is 9680 Tamarack Rd Ste 100, Woodbury, MN 55125-2617.
- What is Nicole Wilson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wilson is (651) 738-9001.
- Does Nicole Wilson accept Medicare?
- Nicole Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Wilson's NPI active?
- Yes — Nicole Wilson's NPI (1770903015) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.