Myra B Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-02039 Issued in KS

Practice address

711 Genn Dr
Wamego, KS 66547-1179

Phone

(785) 456-2295

NPI assigned

Jul 24, 2017

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

Medicare fee-for-service enrollment

Enrolled in KS

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wamego Hospital AssociationGroup PAC ID 5395656086, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wamego Health Center Hospital, Wamego, KS, CCN 171337
• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myra.wilson.1@20807.direct.athenahealth.com
• Direct secure messaging: mwilson46560@stormontvaildirect.org

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.

• Wamego Hospital Association

  • Critical Access Hospital
  • Wamego, KS
  • NPI 1588657928

  KS

  Medicare reassignment Care Compare group NPD
• Cotton-O'Neil Clinic Revocable Trust

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1811944457

  KS

  Medicare reassignment NPD
• Wamego Hospital Association

  • Rural Health Clinic/Center
  • Wamego, KS
  • NPI 1437215480
  Care Compare group
• Wamego Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Wamego, KS
  • NPI 1710970140
  Care Compare group
• Cotton-O'Neil Clinic Revocable Trust

  • Durable Medical Equipment & Medical Supplies
  • Topeka, KS
  • NPI 1700076015
  NPD
• Wamego Hospital Association

  • Family Medicine Physician
  • Wamego, KS
  • NPI 1902899339
  NPD

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

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517

  Hospital

  Care Compare affiliation
• Wamego Hospital Association

  • Critical Access Hospital
  • Wamego, KS
  • NPI 1588657928

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1992228753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 GENN DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471179",
            "telephone_number": "785-456-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 GENN DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471179",
            "telephone_number": "785-456-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MYRA",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wamego Usd 320
• Wamego Usd 320 Special Services Cooperative of Wamego
• Michelle Warner, LMSW
• Lindsey A Westberg, MD
• Arianna D Williams, LPC, LCPC
• Timothy D. Woods, D.D.S.
• Joann Yoxall
• Jaysa Lynn Zoller, PT
• Naomi K Zwonitzer, APRN

• All providers in Wamego, KS
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.