Sara Janelle Wilson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110009445 Issued in VA

Practice address

600 Peter Jefferson Pkwy Ste 310
Charlottesville, VA 22911-8836

Phone

(434) 977-0027

NPI assigned

Jul 31, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albemarle Dermatology Associates, LLCGroup PAC ID 5698707107, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albemarle Dermatology Associates, LLC

  • Dermatology Physician
  • Charlottesville, VA
  • NPI 1801973169
  Medicare reassignment Care Compare group
• Advanced Dermatology of Charlottesville, PLC

  • MOHS-Micrographic Surgery Physician
  • Charlottesville, VA
  • NPI 1669561791
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1063193126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 VANTAGE WAY APT 111",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323197",
            "telephone_number": "540-820-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 310",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118836",
            "telephone_number": "434-977-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARA",
        "middle_name": "JANELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110009445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karie A. Wilson, ACNP
• Katherine Wilson, PSYD
• Kyle Alan Wilson, PA
• Monique D Wilson, PHD
• Renee N Wilson, AG-ACNP
• Sarah Wilson, LPC
• William G. Wilson, M.D.
• Mary Catherine Wimer, MD
• William Winardi
• Amanda H Winecoff, LPC

• Surgical Physician Assistant in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.