Individual provider Active NPI

Catherine Alexis Wilson

  • Physician Assistant
  • Bridgeport, WV
National Provider Identifier
1871383786
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Market PL
Bridgeport, WV 26330-9168
Phone
(304) 848-5770
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

100 Market PL
Bridgeport, WV 26330-9168

Mailing address

100 Market PL
Bridgeport, WV 26330-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20251220000214 WV Practitioner - Physician Assistant 0042705618 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

1 Eagle Way
Robert C Byrd High School Wellness Center
Clarksburg, WV 26301-9784
Phone (304) 924-6262

1 Mountaineer Dr
Clarksburg, WV 26301-5511
Phone (304) 622-0440

100 Market PL
Bridgeport, WV 26330-9168
Phone (304) 848-5770

1302 Buckhannon Pike
Nutter Fort, WV 26301-4406
Phone (304) 623-4419

149 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022

413 Johnson Ave
Bridgeport, WV 26330-1309
Phone (304) 842-1840

431 Cass Rd
Slatyfork, WV 26291-9014
Phone (304) 572-4410

58 B RR
Suite 1
Lost Creek, WV 26385-9707
Phone (304) 745-5205

700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone (304) 623-3874

78 Jerry Toth Dr
Shinnston, WV 26431-8502
Phone (304) 592-5022

Hospital & facility affiliations

  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia Inc CurrentSince Nov 1, 2025 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Community Care of West Virginia, Inc. PastSince Apr 19, 2026 Accepting new patients

Locations

100 Market Pl
Bridgeport, WV 26330
Phone (304) 848-5770

413 Johnson Ave
Bridgeport, WV 26330
Phone (304) 326-7142

1 Eagle Way
#C
Clarksburg, WV 26301

1 Mountaineer Dr
Clarksburg, WV 26301
Phone (304) 326-7470

1302 Buckhannon Pike
Nutter Fort, WV 26301
Phone (304) 326-7501

78 Jerry Toth Dr
Shinnston, WV 26431
Phone (304) 592-5022

431 Cass Rd
Slatyfork, WV 26291
Phone (304) 572-4410

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1871383786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARKET PL",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET PL",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309168",
            "telephone_number": "304-848-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CATHERINE",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.