Individual provider Active NPI

Kara Jo Wilson, P.A.C.

  • Physician Assistant
  • Hillsdale, MI
National Provider Identifier
1356541270
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004958 Issued in MI
Practice address
1456 Hudson Rd
Hillsdale, MI 49242-8314
Phone
(517) 439-0200
NPI assigned
Jul 19, 2007
Last updated
Feb 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070915000073 MI Practitioner - Physician Assistant 0840384319 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004958MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesville Health Care PLLC CurrentSince Dec 23, 2025 Accepting new patients
Keith R. Baker MD PC Current Accepting new patients
Jonesville Healthcare PLLC CurrentSince Dec 23, 2025 Accepting new patients
Hillsdale Medical Associates, PLC CurrentSince Oct 18, 2008 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71454
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.