MR. DEAN JR. WILSON (P.A.) – Physician Assistant, NPI 1659329951

MR. DEAN JR. WILSON (P.A.) is a healthcare provider. based in Agoura hills, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 19199 (CA). The NPI Number for MR. DEAN JR. WILSON (P.A.) is 1659329951

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. DEAN JR. WILSON (P.A.)
NPI
1659329951
Phone
(818) 422-7246
Address
PO BOX 98
Enumeration Date
5 May 2006
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008990101
Graduation Year
1994 (32 years ago)
PAC ID
6002701729
Group Practice PAC ID
6901991330
Professional Enrollment ID
I20130710000655
Address ID
CA904034984SA2901XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. DEAN JR. WILSON (P.A.)

  • PO BOX 98

    AGOURA HILLS, CA 913760098

    Phone: (818) 422-7246

    Type: Mailing

  • 215 W JANSS RD

    THOUSAND OAKS, CA 913601847

    Phone: (805) 497-2727

    Type: Location

  • 7300 MEDICAL CENTER DR

    WEST HILLS, CA 913071902

    Phone: (818) 422-7246

    Type: Location

  • 532, Virginia Drive, Lake Formosa, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031856

    Phone: (407) 898-8644

    Fax: (407) 898-8646

    Type: Location

  • Highland Street, Longdale, Longwood, Seminole County, Florida, 32750, United States

    LONGWOOD, FL 327504534

    Phone: (407) 260-9548

    Fax: (407) 898-8646

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Medtronic, Inc. ($75).

Total Amount

$140

General + Research + Ownership

Payments

6

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130710000655IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5537$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4948$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 91376)

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Provider's Procedures

MR. DEAN JR. WILSON (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL63048Partial removal of spine bone with release of spinal cord and/or nerves1412

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901991330View full group profile
NameSpecialtyState
N E U R O S U R G E R YCA

Reviews

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Frequently asked questions

What is MR. DEAN JR. WILSON (P.A.)'s NPI number?
MR. DEAN JR. WILSON (P.A.)'s NPI is 1659329951 — the number used across U.S. healthcare to identify this provider.
Would MR. DEAN JR. WILSON (P.A.) appear as active to a payer?
You can treat MR. DEAN JR. WILSON (P.A.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. DEAN JR. WILSON (P.A.)'s focus?
For MR. DEAN JR. WILSON (P.A.), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. DEAN JR. WILSON (P.A.)?
Directory geography for MR. DEAN JR. WILSON (P.A.) centers on Agoura Hills, California.
Can I trust this NPI listing for MR. DEAN JR. WILSON (P.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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