Abigail Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA064592 Issued in PA

Practice address

90 Beaver Dr Ste 122D
Du Bois, PA 15801-2441

Phone

(814) 375-2037

NPI assigned

May 19, 2023

Last updated

Oct 4, 2023By the provider in NPPES

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 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

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • Neurological Surgery Physician
  • Du Bois, PA
  • NPI 1184728727
  Medicare reassignment NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois Emergency Department

  • Emergency Medicine Physician
  • Du Bois, PA
  • NPI 1992802391
  Medicare reassignment NPD
• Dubois Regional Medical Group, PC

  • Multi-Specialty Clinic/Center
  • Du Bois, PA
  • NPI 1285728915

  Physician Assistant

  Medicare reassignment NPD
• Elk Regional Health Center

  dba Penn Highlands Elk Emergency Group

  • Emergency Medicine Physician
  • Saint Marys, PA
  • NPI 1114460391
  Medicare reassignment
• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • Pharmacy
  • Ridgway, PA
  • NPI 1366900458
  NPD
• Dubois Regional Medical Group, PC

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1093956617

  Physician Assistant

  NPD
• Elk Regional Health Center

  dba Penn Highlands Elk

  • Long Term Care Pharmacy
  • Saint Marys, PA
  • NPI 1790570067
  NPD
• Elk Regional Health Center

  dba Penn Highlands Elk

  • Ophthalmology Physician
  • Saint Marys, PA
  • NPI 1811610298

  Physician Assistant

  NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1639860562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 DEER LN",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158254715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 122D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012441",
            "telephone_number": "814-375-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ABIGAIL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Wicks, PA-C
• Courtney Wigfield
• Kristen Williams, CRNP
• Allison Chalfant Williamsball, CRNP
• Allie Williamson
• Kerri Wingard, NP
• Michael T Wingate, MD
• Trevor Winkler, MD
• Dana M Winter, OTR/L
• Adam L Wisor, CRNP

• Physician Assistant in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.