JUSTIN O WILSON (AUD) – Audiologist, NPI 1962492405

JUSTIN O WILSON (AUD) is a healthcare provider. based in La crosse, Wisconsin. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 394 (IA). The NPI Number for JUSTIN O WILSON (AUD) is 1962492405

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN O WILSON (AUD)
NPI
1962492405
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
26 October 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6086372101
Graduation Year
2003 (23 years ago)
PAC ID
7315078060
Group Practice PAC ID
9638082779
Professional Enrollment ID
I20100624000805
Address ID
WI546652059VI507XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

218 QUALIFIED AUDIOLOGIST in WI

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Provider Addresses for JUSTIN O WILSON (AUD)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-24

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100624000805IQualified AudiologistWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function142141$0
92557Comprehensive hearing and speech recognition test9090$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 9638082779View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JUSTIN O WILSON (AUD) for billing?
Administrative and clinical systems typically use NPI 1962492405 for JUSTIN O WILSON (AUD).
Does the public listing show JUSTIN O WILSON (AUD) as active?
JUSTIN O WILSON (AUD)'s NPI record reflects an active status in NPPES.
How should patients interpret JUSTIN O WILSON (AUD)'s specialty?
The extract shows Audiologist for JUSTIN O WILSON (AUD). Clinical services aligned with this taxonomy classification.
Is JUSTIN O WILSON (AUD) tied to La Crosse, Wisconsin?
If you are local to La Crosse, Wisconsin, JUSTIN O WILSON (AUD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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