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

John Michael Wilson

Individual provider Physician Assistant · NPI 1922785336

John Michael Wilson is a Physician Assistant in Omaha, Nebraska. Qualified in 2024, 2 years ago. Practices with North Platte Nebraska Hospital Corporation, a 236-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

4214 Davenport St
Omaha, NE 68131-2242
Phone: (330) 687-5108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922785336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address4214 Davenport St, Omaha, NE 68131-2242

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Platte Nebraska Hospital Corporation — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Omaha