Hannah Nicole Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16819 Issued in TX

Practice address

12730 I-10 #306,
San Antonio, TX 78230

Phone

(210) 877-0772

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Healthnet Medical Clinic LTDGroup PAC ID 1254354590, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texas Healthnet Medical Clinic LTD.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1578631040
  Medicare reassignment Care Compare group NPD
• Jagannath LLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1700038239
  NPD (past)
• Sona LLC of Texas

  • Urgent Care Clinic/Center
  • Schertz, TX
  • NPI 1598087207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1598466567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 KENDALL RDG",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780158362",
            "telephone_number": "936-328-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 I-10 #306,",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78230",
            "telephone_number": "210-877-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7418 John Smith Dr Unit 2215",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296020",
            "country_code": "US",
            "telephone_number": "210-201-3256",
            "fax_number": "210-610-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HANNAH",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Catherine Wilson, ED.D.
• Dora Wilson, M.A.,CCC-SLP
• Drake Wilson, PHARMD
• Elizabeth Conzel Wilson, DPT
• Hallie Riedel Wilson, MD
• Harold Enell Wilson, MD
• Heather E. Wilson
• Jane Marie Wilson, FNP
• Janis Wilson
• Jasmine Wilson, MS, LMFTA

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.