STEPHANIE CAROLINE WILSON (PA-C) – Physician Assistant, NPI 1235688300

STEPHANIE CAROLINE WILSON (PA-C) is a healthcare provider. based in Longmont, Colorado. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA.0004711 (CO). The NPI Number for STEPHANIE CAROLINE WILSON (PA-C) is 1235688300

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE CAROLINE WILSON (PA-C)
NPI
1235688300
Phone
(720) 279-9098
Address
1551 PROFESSIONAL LN
Enumeration Date
29 September 2016
Last Update Date
13 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7202799098
Graduation Year
2016 (10 years ago)
PAC ID
7113209321
Group Practice PAC ID
8325178775
Professional Enrollment ID
I20170124001472
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE CAROLINE WILSON (PA-C)

  • 1551 PROFESSIONAL LN

    SUITE 220

    LONGMONT, CO 805016972

    Phone: (720) 279-9098

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 80501)

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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: 8325178775View full group profile
NameSpecialtyState
Sleep MedicineCO
Sleep MedicineFL
-SC

Reviews

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Frequently asked questions

Does STEPHANIE CAROLINE WILSON (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHANIE CAROLINE WILSON (PA-C) uses 1235688300.
Can I rely on STEPHANIE CAROLINE WILSON (PA-C) being an active provider?
As of the registry snapshot, STEPHANIE CAROLINE WILSON (PA-C) is marked active.
What is STEPHANIE CAROLINE WILSON (PA-C) best known for clinically?
Directory data describes STEPHANIE CAROLINE WILSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE CAROLINE WILSON (PA-C)?
STEPHANIE CAROLINE WILSON (PA-C)'s geographic hint is Longmont, Colorado in our summary view.
Is the information about STEPHANIE CAROLINE WILSON (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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