Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan B Wilson, DPM

Individual provider Podiatrist · NPI 1205197878

Dr. Jonathan B Wilson, DPM is a Podiatry in Grand Island, Nebraska. Qualified in 2009, 17 years ago. Practices with Foot and Ankle Clinic of Central Nebraska PC, a 4-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
17
Licensed in
NE
In the registry since
2012
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

620 N Diers Ave Ste 100
Grand Island, NE 68803-4985
Phone: (308) 381-0404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 334 (NE)

Record details

NPI number1205197878
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 31, 2012
Last updated in NPPESJuly 18, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Foot And Ankle Clinic Of Central Nebraska Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grand Island