Kristen Heffelfinger Wilson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-05571 Issued in NC

Practice address

4402 Shipyard Blvd
Wilmington, NC 28403-6161

Phone

(910) 452-1400

NPI assigned

Feb 3, 2015

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 NC

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

Brody School of Medicine at East Carolina University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina Care PLLCGroup PAC ID 2264867803, 6 clinicians

Medac Health Services PAGroup PAC ID 1254220809, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

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 and National Provider Directory roles.

• Medac Health Services, PA

  • Emergency Medicine Physician
  • Wilmington, NC
  • NPI 1356345920
  Medicare reassignment Care Compare group NPD
• Coastal Carolina Care PLLC

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1760027874
  Medicare reassignment Care Compare group
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment
• Medac Health Services, PA

  • Emergency Medicine Physician
  • Wilmington, NC
  • NPI 1346745098
  NPD

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

• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1851781439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 MAPLE RIDGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117566",
            "telephone_number": "704-477-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036161",
            "telephone_number": "910-452-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 South Academy Street",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "27910",
            "country_code": "US",
            "telephone_number": "252-209-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Main Street",
            "address_2": "Vidant Duplin Hospital",
            "address_purpose": "LOCATION",
            "city": "Kenansville",
            "state": "NC",
            "postal_code": "28349",
            "country_code": "US",
            "telephone_number": "910-296-0941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9101 Ocean Hwy E",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284517867",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8108B Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119386",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5211 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122209",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTEN",
        "middle_name": "HEFFELFINGER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Hutto Wilson, FNP
• Jack Kenney Wilson Jr., MD
• Jonathan Wilson, DPT
• Kaitlin Marie Wilson, PA-C
• Karen Marie Wilson, D.C.
• Lauren Portnow Wilson, MD
• Lori E Wilson, LCSWA
• Marcia H Wilson, CRNA
• Maxwell Franklin Wilson II, PA-C
• Melissa Diane Wilson, LCSW

• Medical Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.