KYLE LAWRENCE WILSON (MD) – Pulmonary Disease Physician, NPI 1528546678

KYLE LAWRENCE WILSON (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 79450 (MN). The NPI Number for KYLE LAWRENCE WILSON (MD) is 1528546678

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KYLE LAWRENCE WILSON (MD)
NPI
1528546678
Phone
(402) 595-3939
Address
982055 NEBRASKA MEDICAL CTR
Enumeration Date
31 July 2018
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202525131
Graduation Year
2018 (8 years ago)
PAC ID
2860746955
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20250519000245
Address ID
MN563032735ST1200XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:7State licenses:2Digital endpointsOther names

114 PULMONARY DISEASE in NE

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Provider Addresses for KYLE LAWRENCE WILSON (MD)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681982055

    Phone: (402) 595-3939

    Fax: (402) 595-3898

    Type: Mailing

  • 1200 6TH AVE N

    SAINT CLOUD, MN 563032735

    Phone: (320) 251-2700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($135).

Total Amount

$151

General + Research + Ownership

Payments

7

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210706001871IInternal MedicineNETBD
I20250519000245IPulmonary DiseaseMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 68198)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm KYLE LAWRENCE WILSON (MD)'s NPI?
Yes. KYLE LAWRENCE WILSON (MD) is listed with NPI 1528546678 in the public NPI dataset.
Can I rely on KYLE LAWRENCE WILSON (MD) being an active provider?
As of the registry snapshot, KYLE LAWRENCE WILSON (MD) is marked active.
What is KYLE LAWRENCE WILSON (MD)'s specialty?
The listing groups KYLE LAWRENCE WILSON (MD) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KYLE LAWRENCE WILSON (MD) on a map?
Expect Omaha, Nebraska as a primary anchor for KYLE LAWRENCE WILSON (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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