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

Shane Wilson

Individual provider Case Manager/Care Coordinator · NPI 1053129007

Shane Wilson is a Case Manager/Care Coordinator in Pickerington, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235
Phone: (614) 729-6900
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)

Record details

NPI number1053129007
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing address1098 Cambridge Rd, Coshocton, OH 43812-2703

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