Individual provider Active NPI

Danica Lynn Wilson, PA-C

  • Medical Physician Assistant
  • New Bethlehem, PA
National Provider Identifier
1508699174
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065834 Issued in PA
Practice address
102 South St
New Bethlehem, PA 16242-1238
Phone
(814) 275-2264
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA065834 PA Primary

Addresses

Primary practice location

102 South St
New Bethlehem, PA 16242-1238

Mailing address

2730 Ninevah Rd
Knox, PA 16232-6542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250915000579 PA Practitioner - Physician Assistant 2365945300 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

Practice addresses (Care Compare)

102 S St
New Bethlehem, PA 16242-1238
Phone (814) 275-2264

10261 State Route 85
Kittanning, PA 16201-8165
Phone (724) 783-7124

116 Main St
Leechburg, PA 15656-1333
Phone (724) 845-1211

116 N Main St
Elderton, PA 15736-0615
Phone (724) 354-5258

260 S Jefferson St
Armstrong Primary Care Center Kittanning
Kittanning, PA 16201-2422
Phone (724) 543-5919

300 Medical Arts BLDG
Suite 300
Kittanning, PA 16201-7129
Phone (724) 545-1288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065834PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong County Memorial Hospital CurrentSince Jul 4, 2025 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Jul 4, 2025 Accepting new patients
Armstrong County Memorial Hospital Past Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

102 South St
New Bethlehem, PA 16242
Phone (814) 275-2264

Interoperability endpoints

  • Direct secure messaging: danica.wilson@1ah.eclinicaldirectplus.com

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 7

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1508699174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 NINEVAH RD",
            "city": "KNOX",
            "state": "PA",
            "postal_code": "162326542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTH ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421238",
            "telephone_number": "814-275-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.