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

Nicole Marie Wilson, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1922401223

Nicole Marie Wilson, AGACNP-BC is a Nurse Practitioner in Youngstown, Ohio. Qualified in 2014, 12 years ago. Practices with Mercy Health Physicians Youngstown Specialty Care LLC, a 467-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014

Practice location Address checks out

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone: (330) 747-6881
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.16417 (OH)

Record details

NPI number1922401223
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 30, 2014
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mercy Health Physicians Youngstown Specialty Care Llc — 467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Youngstown