Individual provider Active NPI

Raeleen Alise Wilson, P.A.

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1124102991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103815 Issued in NC
Practice address
100 Ridgefield CT
Asheville, NC 28806-2207
Phone
(828) 670-8403
Fax
(828) 670-8404
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103815 NC Primary

Addresses

Primary practice location

100 Ridgefield CT
Asheville, NC 28806-2207

Mailing address

PO Box 16948
Asheville, NC 28816-0948
Phone (828) 670-8403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20091116000392 NC Practitioner - Physician Assistant 2668510439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Ridgefield CT
Suite a
Asheville, NC 28806-2246
Phone (828) 213-1740

2000 Health Park Dr
Brentwood, TN 37027-4692

21 Hospital Dr
Asheville, NC 28801-4550

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 4, 2019 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 4, 2019 Accepting new patients
Asheville Cardiology Associates Past Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients
Hope a Womens Cancer Center, PA Past Accepting new patients
MMH-Cor Enterprises IV LLC Past Accepting new patients

Locations

100 Ridgefield Ct
Asheville, NC 28806
Phone (828) 670-8403

100 Ridgefield Ct
Ste A
Asheville, NC 28806
Phone (828) 670-5665

21 Hospital Dr
Asheville, NC 28801
Phone (828) 213-0100

428 Biltmore Ave
#4S
Asheville, NC 28801

5 Vanderbilt Park Dr
Asheville, NC 28803

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124102991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16948",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288160948",
            "telephone_number": "828-670-8403",
            "fax_number": "828-670-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGEFIELD CT",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062207",
            "telephone_number": "828-670-8403",
            "fax_number": "828-670-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RAELEEN",
        "middle_name": "ALISE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.