MS. OLIVIA JANE WILSON (PA-C) – Physician Assistant, NPI 1962362020
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MS. OLIVIA JANE WILSON (PA-C)
4150 REGENTS PARK ROW STE 230
LA JOLLA, CA 920371414
Phone: (858) 207-3117
Fax: (858) 240-4029
Type: Location
958 B AVE
CORONADO, CA 921182606
Phone:
Type: Mailing
4150 REGENTS PARK ROW
LA JOLLA, CA 920379124
Phone: (858) 909-9033
Type: Location
351 Santa Fe Dr Ste 250
Encinitas, CA 920245145
Phone: (858) 209-3717
Type: Location
296 H St
Chula Vista, CA 919104753
Phone: (619) 476-7958
Type: Location
1180 Rosecrans St Unit 607
San Diego, CA 921062660
Phone: (858) 321-5372
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251202003923 | I | Physician Assistant | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92037)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.