Jared A Wilson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

P-T0915 Issued in AR

Practice address

1662 Higdon Ferry Road
Ste 300
Hot Springs, AR 71913

Phone

(501) 321-2663

NPI assigned

Aug 27, 2009

Sex

Male

Sole proprietor

No

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 AR

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHI St Vincent Medical Group Hot SpringsGroup PAC ID 3971673716, 184 clinicians

Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jwilson124126@directb.mercy.net

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.

• CHI St. Vincent Medical Group Hot Springs

  • Specialist
  • Hot Springs, AR
  • NPI 1831387117
  Medicare reassignment Care Compare group
• F&S Physical Therapy, Inc.

  • Physical Therapist
  • Alma, AR
  • NPI 1518936418
  Care Compare group
• Hot Springs MRI Center

  • Magnetic Resonance Imaging Radiologic Technologist
  • Hot Springs, AR
  • NPI 1801896410
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHI St Vincent Hospital Hot Springs

  • Home Delivered Meals
  • Hot Springs, AR
  • NPI 1033157375

  Hospital

  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1316144546
  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Practice Physician
  • Hot Springs, AR
  • NPI 1497880124

  Hospital

  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • Psychiatric Hospital Unit
  • Hot Springs, AR
  • NPI 1619915949
  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1689628232
  Care Compare affiliation
• Mercy Hospital Hot Springs

  • Clinic/Center
  • Hot Springs, AR
  • NPI 1174705388

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1598998353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-321-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 HIGDON FERRY ROAD",
            "address_2": "STE 300",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-321-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JARED",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "P-T0915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Wilson, LCSW
• Ashley Wilson, OTD
• Brittany Wilson
• Cassidy Wilson, LAC
• James Kenneth Wilson, CRNA
• Josey Wilson
• Lisa Wilson
• Melvin R. Wilson, PH.D,, LPC, NCC
• Sarah Wilson, RT
• Shauna Jo Wilson, PHARM. D

• Physician Assistant in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.