Active NPI
Kara Jo Wilson, P.A.C.
- Physician Assistant
- Hillsdale, MI
National Provider Identifier
1356541270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004958
- Practice address
- 1456 Hudson Rd
Hillsdale, MI 49242-8314 - Phone
- (517) 439-0200
- NPI assigned
- Jul 19, 2007
- Last updated
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004958 | MI | Primary |
Addresses
Primary practice location
1456 Hudson Rd
Hillsdale, MI 49242-8314
Mailing address
1456 Hudson Rd
Hillsdale, MI 49242-8314
Phone (517) 439-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004958 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonesville Health Care PLLC | Current | Accepting new patients | |
| Keith R. Baker MD PC | Current | Accepting new patients | |
| Jonesville Healthcare PLLC | Current | Accepting new patients | |
| Hillsdale Medical Associates, PLC | Current | Accepting new patients |
Locations
1456 Hudson Rd
Hillsdale, MI 49242
Phone (517) 439-0200
206 Olds St
Jonesville, MI 49250
Phone (517) 849-7100
216 Olds St
Jonesville, MI 49250
Phone (517) 849-7100
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71454
- kwilson602320@direct.hfhs.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Jonesville, MI
- NPI 1063573830
-
dba Robert E Schall, MD
- Family Medicine Physician
- Hillsdale, MI
- NPI 1912239708
-
- Rural Health Clinic/Center
- Hillsdale, MI
- NPI 1902841208
-
- Rural Health Clinic/Center
- Jonesville, MI
- NPI 1790194009
-
- Internal Medicine Physician
- Hillsdale, MI
- NPI 1235322017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1356541270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 HUDSON RD",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492428314",
"telephone_number": "517-439-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 HUDSON RD",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492428314",
"telephone_number": "517-439-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KARA",
"middle_name": "JO",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.