ANDREA LYNN WILSON (MS-CCC/SLP) – Speech-Language Pathologist, NPI 1104001478

ANDREA LYNN WILSON (MS-CCC/SLP) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in Speech-Language Pathologist. They hold the professional credentials MS-CCC/SLP. They hold a License No. 2172-154 (WI). The NPI Number for ANDREA LYNN WILSON (MS-CCC/SLP) is 1104001478

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA LYNN WILSON (MS-CCC/SLP)
NPI
1104001478
Phone
(414) 282-1300
Address
5790 S 27TH ST
Enumeration Date
7 January 2008
Last Update Date
7 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4142177925
Graduation Year
2000 (26 years ago)
PAC ID
0749514156
Group Practice PAC ID
5193036432
Professional Enrollment ID
I20190618003388
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for ANDREA LYNN WILSON (MS-CCC/SLP)

  • Cameo Care Campus, 5790, South 27th Street, Copernicus Park, Milwaukee, Milwaukee County, Wisconsin, 53221, United States

    MILWAUKEE, WI 532214129

    Phone: (414) 282-1300

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 53221)

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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: 5193036432View full group profile
NameSpecialtyState
MRS. CAROLINE M KEANE (PT)
-MO
DHARA SHAH
-AL
DEREK PEAKE (DPT)
-IL
MRS. MARTHA LOUISE ADAMS (MA,CCC-SLP)
Qualified Speech Language PathologistFL
ANN KELLY SCHNITZMEIER (OTR/L)
-MO
CLINT CTIBOR
Occupational Therapist In Private PracticeUT
KIMBERLY NOWAK (PT)
Physical Therapist In Private PracticeWI
MRS. SUSAN GASPARRI (PT)
-WI
KATHRYN HARRIS (DPT)
-FL
ZACHARY RAYMOND ELLIS (DPT)
-WI

Reviews

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Frequently asked questions

Can I verify ANDREA LYNN WILSON (MS-CCC/SLP) with an NPI only?
You can start verification with NPI 1104001478 for ANDREA LYNN WILSON (MS-CCC/SLP), then check state licensing separately.
Does CMS list ANDREA LYNN WILSON (MS-CCC/SLP) as active?
Yes — ANDREA LYNN WILSON (MS-CCC/SLP) is active in the NPI listing used on this page.
What is ANDREA LYNN WILSON (MS-CCC/SLP)'s specialty?
The listing groups ANDREA LYNN WILSON (MS-CCC/SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What area does ANDREA LYNN WILSON (MS-CCC/SLP) serve?
ANDREA LYNN WILSON (MS-CCC/SLP)'s listing highlights Milwaukee, Wisconsin; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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