Individual provider Active NPI

Joshua David Wilson

  • Physician Assistant
  • Morgantown, WV
National Provider Identifier
1407574254
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2917 Issued in WV
Practice address
98 Copperfield CT
Morgantown, WV 26505-2827
Phone
(207) 907-0361
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 2917 WV Primary

Addresses

Primary practice location

98 Copperfield CT
Morgantown, WV 26505-2827

Mailing address

98 Copperfield CT
Morgantown, WV 26505-2827
Phone (207) 907-0361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20241112002694 WV Practitioner - Physician Assistant 0143754226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

2189 Health Science Ctr N
Room 2124
Morgantown, WV 26506
Phone (304) 598-4800

60 Maclaine Way
Shepherdstown, WV 25443-1667

Medical Ctr Dr
Morgantown, WV 26506
Phone (304) 598-4000

PO Box
Suite 8049
Morgantown, WV 26506

Ruby Hosp 3Rd FL
Morgantown, WV 26506
Phone (304) 598-4800

Hospital & facility affiliations

  • Caring Angels Home Health, LLC Home health agency, Inwood, WV, CCN 517143
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2917WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Aug 28, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 28, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

60 Maclaine Way
Ste A
Shepherdstown, WV 25443
Phone (304) 596-5038

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1407574254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 COPPERFIELD CT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052827",
            "telephone_number": "207-907-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 COPPERFIELD CT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052827",
            "telephone_number": "207-907-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.