Scott W Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

325 Issued in WY

Practice address

450 Mountain View St
Powell, WY 82435-2212

Phone

(307) 754-7257

NPI assigned

Oct 12, 2006

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Male

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 WY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: scott.wilson.1@18779.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frontier Neurosciences, LLC

  • Neurology Physician
  • Cody, WY
  • NPI 1124235759
  Medicare reassignment

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1942399522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PLATINUM AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143423",
            "telephone_number": "307-578-1985",
            "fax_number": "307-578-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352212",
            "telephone_number": "307-754-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawley Wilde
• Marsha Wilkinson, LCSW
• Jessica Williams, LPC
• Scott Mark Williams, DDS
• Danielle Marie Wilson
• Allison Winckler, DPT
• Hannah Winland, LCSW
• Sara Wood
• Ame Woodbeck
• Mark S Wurzel, M.D.

• Physician Assistant in Powell, WY
• Providers in Powell, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.