Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicole Marie Wilson, MD, PHD

Individual provider Diagnostic Radiology Physician · NPI 1154908101

Dr. Nicole Marie Wilson, MD, PHD is a Diagnostic Radiology in Boston, Massachusetts. Graduated from Florida International Univ, College of Medicine in 2021, 5 years ago. Licensed in Massachusetts.

Years since qualifying
5
Trained at
Florida International Univ, College of Medicine
Licensed in
MA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1026219 (MA)

Record details

NPI number1154908101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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