Rachel Ann Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2022-0025 Issued in NM

Practice address

300 W Country Club Rd Ste 210
Roswell, NM 88201-5240

Phone

(575) 622-2911

NPI assigned

Dec 8, 2011

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NM

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006
• Artesia General Hospital Hospital, Artesia, NM, CCN 320030
• Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022
• Roosevelt General Hospital Hospital, Portales, NM, CCN 320084

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachel.wilson.1@1610.direct.athenahealth.com

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.

• Roswell Clinic Corp

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1649267618
  Medicare reassignment Care Compare group NPD
• Roswell Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
  • NPI 1396958633
  NPD

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

• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044
  Care Compare affiliation
• Lovelace Health System LLC

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361
  Care Compare affiliation
• Presbyterian Healthcare Services

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  Care Compare affiliation
• Roosevelt County Special Hospital District

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058
  Care Compare affiliation
• Roswell Hospital Corporation

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  Care Compare affiliation

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1669740361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W COUNTRY CLUB RD STE 210",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015240",
            "telephone_number": "575-622-2911",
            "fax_number": "575-622-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W COUNTRY CLUB RD STE 210",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015240",
            "telephone_number": "575-622-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2022-0025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.wilson.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "601 W Country Club Rd Ste 202",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.wilson.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "300 W Country Club Rd Ste 210",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresa Diane Williams, LMSW,,LADAC
• Teri Williams
• Donald Willis, DO
• Janice Susan Wilson, LISW
• Kirstyn Wilson
• Wendy Wilson
• Brandy Sue Withers
• Albert A Witte III, D.O.
• Bethany Ann Woodard Sneed
• Sonya M Woods, COTA/L

• Physician Assistant in Roswell, NM
• Providers in Roswell, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.