Brandon Wilson, CNP - Medicare Nurse Practitioner in Newark, OH

Brandon Wilson, CNP is a medicare enrolled "Nurse Practitioner" in Newark, Ohio. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Licking Memorial Professional Corporation and his current practice location is 1320 W Main St, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at (220) 564-4475.

Brandon Wilson is licensed to practice in Ohio (license number 026226) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689207292.

Contact Information

Brandon Wilson, CNP
1320 W Main St,
Newark, OH 43055-1822
(220) 564-4475
(220) 564-4412

Map and Direction




Provider's Profile

Full NameBrandon Wilson
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location1320 W Main St, Newark, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandon Wilson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1689207292
  • Provider Enumeration Date: 02/21/2020
  • Last Update Date: 12/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123457868
  • Enrollment ID: I20200401002047

Medical Identifiers

Medical identifiers for Brandon Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689207292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 026226 (Ohio)Secondary
363L00000XNurse Practitioner 026226 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Licking Memorial HospitalNewark, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Licking Memorial Professional Corporation6204740731202

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandon Wilson allows following entities to bill medicare on his behalf.
Entity NameLicking Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326072265
PECOS PAC ID: 6204740731
Enrollment ID: O20031203000131

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brandon Wilson, CNP
1320 W Main St,
Newark, OH 43055-1822

Ph: (220) 564-4475
Brandon Wilson, CNP
1320 W Main St,
Newark, OH 43055-1822

Ph: (220) 564-4475

Reviews and Comments


Nurse Practitioner Nurses in Newark, OH

Joan Crumrine, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Licking Memorial Family Practice East, 399 E. Main St, Newark, OH 43055
Phone: 220-564-1846    Fax: 220-564-1847
Mrs. Sarah Elizabeth Karling, APRN, WHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15 Messimer Dr, Newark, OH 43055
Phone: 220-564-4677    
Andrea Sims, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Main St, Newark, OH 43055
Phone: 220-564-4000    
Diane Elaine Kintner, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 675 Price Rd Ne, Newark, OH 43055
Phone: 740-349-6535    Fax: 740-349-6510
Catherine R Wohlford, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 399 E Main St, Newark, OH 43055
Phone: 220-564-1840    Fax: 220-564-1841
Robert Storm Speelman, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1320 W Main St, Newark, OH 43055
Phone: 220-564-4144    Fax: 220-564-7153
Christopher Sobecki, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 65 Messimer Dr, Newark, OH 43055
Phone: 740-522-8477    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.