Mark Edward Wilbur, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA854 Issued in NV

Practice address

700 North Spring
Caliente, NV 89008-1010

Phone

(775) 726-3121

Fax

(775) 726-3666

NPI assigned

Nov 17, 2006

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NV, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• William Bee Ririe Hospital Hospital, Ely, NV, CCN 291302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Tuba City Regional Health Care Corporation

  dba Tuba City Indian Medical Center

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment NPD
• Duckwater Shoshone Tribe

  • Family Medicine Physician
  • Duckwater, NV
  • NPI 1144222761

  TX

  Medicare reassignment
• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Critical Access Hospital
  • Caliente, NV
  • NPI 1659423341
  Medicare reassignment
• Duckwater Health Clinic

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Duckwater, NV
  • NPI 1245445071
  NPD (past) Authorized official
• Lincoln County Hospital District

  dba Grover C. Dils Medical Center Outpatient Rehabilitation Clinic- Alamo

  • Rehabilitation Clinic/Center
  • Alamo, NV
  • NPI 1225673791
  NPD
• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Caliente, NV
  • NPI 1659595460
  NPD
• Tuba City Regional Health Care Corporation

  dba Bodaway Gap Clinic

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD
• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  NPD (past)

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

• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804
  Care Compare affiliation

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1144394693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "address_2": "700 NORTH SPRING",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890081010",
            "telephone_number": "775-726-3121",
            "fax_number": "775-726-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH SPRING",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890081010",
            "telephone_number": "775-726-3121",
            "fax_number": "775-726-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Nevada (Caliente Mental Health)
• State of Nevada (Caliente Mental Health Center)
• Joshua James Terry, O.D.
• Lane Dee Truman, DPT
• Kobee West Wade, DPT

• Medical Physician Assistant in Caliente, NV
• Providers in Caliente, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.