MR. MATTHEW H. WILSON (PMH-NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1962545343
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,881 NURSE PRACTITIONER in ME
Provider Addresses for MR. MATTHEW H. WILSON (PMH-NP)
194 E MAIN ST
FORT KENT, ME 047431428
Phone: (207) 834-3101
Fax: (207) 834-2917
Type: Mailing
12 BOLDUC AVE
FORT KENT, ME 047431602
Phone: (207) 834-3971
Fax: (207) 834-3837
Type: Location
10 Carter St
Eagle Lake, ME 047393060
Phone: (207) 444-5973
Fax: (207) 444-5520
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: 2012-03-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120329000041 | I | Nurse Practitioner | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 04743)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ME | |
| Family Practice | ME | |
| Family Practice | ME | |
| Clinical Social Worker | ME | |
| C H I R O P R A C T I C | NH | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| C H I R O P R A C T I C | ME | |
| C H I R O P R A C T I C | ME |
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