Clifford W Wilkinson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001128 Issued in IA

Practice address

1021 Nebraska St
Sioux City, IA 51105

Phone

(712) 252-2477

Fax

(712) 252-5516

NPI assigned

Jun 12, 2006

Last updated

Jun 14, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cwilkinson637272@direct.ochin.org

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.

• Siouxland Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sioux City, IA
  • NPI 1558355305
  Medicare reassignment
• St Lukes Health Resources

  dba St Lukes Clinic Network

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492

  Medical

  NPD (past)
• Farrell PC

  dba Dunes Family Medicine

  • Family Medicine Physician
  • Dakota Dunes, SD
  • NPI 1174598437
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1326080433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 NEBRASKA ST",
            "address_2": "PO BOX 5410",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511025410",
            "telephone_number": "712-252-2477",
            "fax_number": "712-252-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51105",
            "telephone_number": "712-252-2477",
            "fax_number": "712-252-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "CLIFFORD",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001128",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cal Edward Wiese, OD
• Linda Wieseler, MSE
• Macey Lynn Wignall
• Robert Alfred Wikstrom
• Kourtney L Wilcox, ARNP
• Aaron M. Williams, D.D.S.
• Nitausha Ann Williams, LMSW
• Troyja Williams
• Mary Michelle Wilson, MSN, ARNP, FNP-BC
• Meagan Wilson

• Physician Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.