Individual provider Active NPI

Erica Toy Wilson, PA-C

  • Physician Assistant
  • Owingsville, KY
National Provider Identifier
1902448749
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2594 Issued in KY
Practice address
44 Water Street
Owingsville, KY 40360
Phone
(606) 674-9776
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2594 KY Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

44 Water Street
Owingsville, KY 40360

Mailing address

236 West Main St.
Mt. Sterling, KY 40353
Phone (859) 404-7686

Other identifiers 1

IdentifierTypeStateIssuer
7100636740MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200110001604 KY Practitioner - Physician Assistant 4385079821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Health Solutions IncGroup PAC ID 9436301686, 59 clinicians

Practice addresses (Care Compare)

44 Water St
Owingsville, KY 40360-8944
Phone (606) 674-9776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions Inc CurrentSince Dec 2, 2019 Accepting new patients
Sterling Health Solutions, Inc CurrentSince Dec 2, 2019 Accepting new patients

Locations

209 N Maysville St
Ste 200
Mt Sterling, KY 40353
Phone (859) 404-4686

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

Interoperability endpoints

  • Direct secure messaging: erica.wilson.1@25737.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1902448749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 WEST MAIN ST.",
            "city": "MT. STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-404-7686",
            "fax_number": "859-498-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WATER STREET",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "40360",
            "telephone_number": "606-674-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERICA",
        "middle_name": "TOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2594",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100636740",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owingsville, KY

Sources for this page

Verify at the official NPI Registry.