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

Kyle Wilson

Individual provider Family Nurse Practitioner · NPI 1649145798

Kyle Wilson is a Nurse Practitioner in Oregon, Ohio. Qualified in 2025, 1 year ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025

Practice location Address checks out

3316 Navarre Ave Ste F
Oregon, OH 43616-3301
Phone: (419) 291-1420
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0040332 (OH)

Record details

NPI number1649145798
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address651 E Elm St, Wauseon, OH 43567-1417

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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