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

Nicholas Richard Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1407871262

Nicholas Richard Wilson, PA-C is a Physician Assistant in Temperance, Michigan. Qualified in 1998, 28 years ago. Practices with Family Medical Center of Michigan Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8765 Lewis Ave
Temperance, MI 48182-9583
Phone: (734) 847-3802
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005306 (MI)

Record details

NPI number1407871262
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESFebruary 26, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Family Medical Center Of Michigan Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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