MATTHEW WILSON (MD) – Family Medicine Physician, NPI 1063807097

MATTHEW WILSON (MD) is a healthcare provider. based in Nampa, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M-14743 (ID). The NPI Number for MATTHEW WILSON (MD) is 1063807097

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW WILSON (MD)
NPI
1063807097
Phone
(208) 467-4431
Address
PO BOX 9
Enumeration Date
6 April 2015
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2084951011
Graduation Year
2015 (11 years ago)
PAC ID
4789998147
Group Practice PAC ID
4082527353
Professional Enrollment ID
I20190926002366
Address ID
ID836415199ME150XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

969 FAMILY PRACTICE in ID

Provider Addresses for MATTHEW WILSON (MD)

  • PO BOX 9

    NAMPA, ID 836530009

    Phone: (208) 467-4431

    Fax: (208) 466-5359

    Type: Mailing

  • 300 S 23RD ST

    BOISE, ID 837029100

    Phone: (208) 344-3512

    Fax: (208) 466-5359

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-03

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83653)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082527353View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MATTHEW WILSON (MD)?
MATTHEW WILSON (MD) — NPI 1063807097 — is the standard way to identify this listing.
Is MATTHEW WILSON (MD) still practicing?
MATTHEW WILSON (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MATTHEW WILSON (MD)?
For research purposes, treat MATTHEW WILSON (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MATTHEW WILSON (MD)?
MATTHEW WILSON (MD)'s geographic hint is Nampa, Idaho in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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