Bailey Wilson, PA-C
Individual provider Active NPI Medical Physician Assistant · Vineyard, UT
NPI 1558098558 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1558098558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 534 E 300 N Unit 311
Vineyard, UT 84059-3510 - Phone
- (206) 819-0538
- NPI assigned
- Aug 1, 2022
- Reactivated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bozeman Health Deaconess Hospital
Practice addresses (Care Compare)
875 S Cottonwood Rd
Bozeman, MT 59718-4221
925 Highland Blvd
Suite 1220
Bozeman, MT 59715-6905
Phone (406) 414-3780
935 Highland Blvd
Suite 2200
Bozeman, MT 59715-6915
Phone (406) 414-5700
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- Intermountain Health Alta View Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230215002068 | UT | Practitioner - Physician Assistant | 7618349838 | Reassigns benefits to 1 organization |
| I20251003001863 | MT | Practitioner - Physician Assistant | 7618349838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Current |
Accepting new patients | |
| Foothill Clinic, LLC | Current |
Accepting new patients | |
| Belgrade Clinic PLLP | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current |
Accepting new patients |
Locations
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780
935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311
13953 S Bangerter Pkwy
Draper, UT 84020
Phone (385) 900-4090
6360 S 3000 E
Ste 100
Salt Lake Cty, UT 84121
Phone (801) 365-1032
2295 S Foothill Dr
Slc, UT 84109
Phone (801) 486-3021
Interoperability endpoints
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/FFC/api/FHIR/R4
- bwilson23197@foothillfamilyclinic.gardenplot.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | MT | Yes |
Addresses
Primary practice location
534 E 300 N Unit 311
Vineyard, UT 84059-3510
Mailing address
534 E 300 N Unit 311
Vineyard, UT 84059-3510
Phone (206) 819-0538
Other providers in Vineyard, UT
- Connan Wallace
- Leticia Bench Wasden
- Bryan Weed
- Brett Wheatfill
- Wholebility
- David Wilson
- Erin Riley Wilson
- Adam Gregory Wynn
- Kassie M Young
- Marco Zanin
All providers in Vineyard, UT · Medical Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.