Carissa Wilson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6614 Issued in MA

Practice address

27 Park St
Hyannis, MA 02601-5230

Phone

(508) 771-1800

NPI assigned

Jun 22, 2018

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Female

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 MA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plymouth Bay Orthopedic Associates IncGroup PAC ID 3375448335, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
• Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwilson253189@direct.bilh.masshiway.net

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.

• Plymouth Bay Orthopedic Associates Inc.

  • Orthopaedic Surgery Physician
  • Duxbury, MA
  • NPI 1548281488
  Medicare reassignment Care Compare group NPD
• Cape Cod Emergency Associates LLP

  • Emergency Medicine Physician
  • Hyannis, MA
  • NPI 1396462958
  Medicare reassignment
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Weymouth, MA
  • NPI 1477044212
  Medicare reassignment
• Urgi Center Medical Group

  • Urgent Care Clinic/Center
  • Sandwich, MA
  • NPI 1902146798
  Medicare reassignment
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Quincy, MA
  • NPI 1144713199
  NPD
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Braintree, MA
  • NPI 1487203246
  NPD
• Bay Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Falmouth, MA
  • NPI 1740392265
  NPD (past)

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

• Beth Israel Deaconess Hospital Plymouth, Inc.

  • General Acute Care Hospital
  • Plymouth, MA
  • NPI 1043299001
  Care Compare affiliation
• Rehabilitation Hospital of the Cape and Islands, Corporation

  dba Spaulding Rehabilitation Hospital - Cape Cod

  • Rehabilitation Hospital
  • E Sandwich, MA
  • NPI 1265489736

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1649765561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMERCIAL ST APT 507",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844375",
            "telephone_number": "563-370-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230",
            "telephone_number": "508-771-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CARISSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "6614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann L. Williams, LICSW
• Shantel Williams, LPN
• Lisa Williamson
• John A Willis, MD
• Julia Anne Willis
• Mary Wilson
• Thomas Lawrence Wilson
• Steven Paul Winkel, DO, FACP
• Julie Winn, PA-C
• Caitlin Winslow

• Physician Assistant in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.