Nicole Celeste Wilson, - Medicare Certified Registered Nurse Anesthetist (crna) in Philadelphia, PA

Nicole Celeste Wilson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Temple Faculty Practice Plan Inc and her current practice location is 7600 Central Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 728-2112.

Nicole Celeste Wilson is licensed to practice in Pennsylvania (license number RN309077L) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558697862.

Contact Information

Nicole Celeste Wilson,
7600 Central Ave,
Philadelphia, PA 19111-2442
(215) 728-2112
Not Available

Map and Direction




Provider's Profile

Full NameNicole Celeste Wilson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location7600 Central Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Celeste Wilson graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1558697862
  • Provider Enumeration Date: 10/20/2009
  • Last Update Date: 10/20/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8022152263
  • Enrollment ID: I20100225000475

Medical Identifiers

Medical identifiers for Nicole Celeste Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558697862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN309077L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Temple University HospitalPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Temple Faculty Practice Plan Inc03455887111060

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. Nicole Celeste Wilson allows following entities to bill medicare on her behalf.
Entity NameSociety Hill Anesthesia Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427003219
PECOS PAC ID: 5991617292
Enrollment ID: O20031119000358
Entity NameFox Chase Cancer Center Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396019444
PECOS PAC ID: 8123289550
Enrollment ID: O20120412000054
Entity NameTemple Faculty Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623

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. Nicole Celeste 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
Nicole Celeste Wilson,
1613 Woodbrook Ln,
Philadelphia, PA 19150-1021

Ph: (267) 974-2372
Nicole Celeste Wilson,
7600 Central Ave,
Philadelphia, PA 19111-2442

Ph: (215) 728-2112

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

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Phone: 251-483-9900    
Donna Simmers, CRNA
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Catrina Jones, CRNA
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Veronica Mooney, CRNA
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Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120
Phone: 215-456-7000    Fax: 215-254-2599
Lauren Bruce, CRNA
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Medicare: Accepting Medicare Assignments
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Phone: 215-456-7000    Fax: 215-254-2599
Mrs. Jaiby V George, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140
Phone: 215-707-3326    Fax: 215-707-8028
Carlene M Mclaughlin, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 3400 Spruce St, Philadelphia, PA 19104
Phone: 215-349-8310    

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.