Individual provider Active NPI

Bailey Wilson, PA-C

  • Medical Physician Assistant
  • Vineyard, UT
National Provider Identifier
1558098558
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 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
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X MT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230215002068 UT Practitioner - Physician Assistant 7618349838 Reassigns benefits to 1 organization
I20251003001863 MT Practitioner - Physician Assistant 7618349838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 4688984164, 309 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Sep 1, 2025 Accepting new patients
Foothill Clinic, LLC CurrentSince Apr 1, 2023 Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
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

  • Direct secure messaging: bwilson23197@foothillfamilyclinic.gardenplot.direct-ci.com
  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/FFC/api/FHIR/R4

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.

Hospital & facility affiliations 2

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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1558098558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E 300 N UNIT 311",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840593510",
            "telephone_number": "206-819-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E 300 N UNIT 311",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840593510",
            "telephone_number": "206-819-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BAILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "deactivation_date": "2022-08-02",
        "reactivation_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard, UT

Sources for this page

Verify at the official NPI Registry.