NPIMap

Individual provider Active NPI

Seth Mackenzie Wilson, PA-C

  • Physician Assistant
  • Billings, MT
National Provider Identifier
1497030639
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
670 Issued in MT
Practice address
123 S 27TH St
Billings, MT 59101-4200
Phone
(406) 651-6436
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 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 670 MT Primary

Addresses

Primary practice location

123 S 27TH St
Billings, MT 59101-4200

Mailing address

123 S 27TH St
Billings, MT 59101-4200
Phone (406) 651-6436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000348 MT Practitioner - Physician Assistant 6800063769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2675 Central Ave
Billings, MT 59102-6686
Phone (406) 238-2500

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

PO Box
Suite 35100
Billings, MT 59107-5100

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
670MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowstone City-County Health Department CurrentSince Nov 1, 2011 Accepting new patients
Billings Clinic CurrentSince Apr 6, 2020 Accepting new patients
Yellowstone City-County Health Dept CurrentSince Nov 1, 2011 Accepting new patients

Locations

2675 Central Ave
Billings, MT 59102
Phone (406) 238-2900

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

123 S 27th St
Billings, MT 59101
Phone (406) 247-3200

Organizations & group practices 9

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 8

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1497030639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591014200",
            "telephone_number": "406-651-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591014200",
            "telephone_number": "406-651-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SETH",
        "middle_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.