ANNA LEE WILSON (PA) – Medical Physician Assistant, NPI 1891494704

ANNA LEE WILSON (PA) is a healthcare provider. based in Castle rock, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.0007679 (CO). The NPI Number for ANNA LEE WILSON (PA) is 1891494704

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ANNA LEE WILSON (PA)
NPI
1891494704
Phone
(720) 686-7546
Address
4350 Limelight Ave Ste 205
Enumeration Date
28 February 2023
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7206867546
Graduation Year
2022 (4 years ago)
PAC ID
1658738224
Group Practice PAC ID
4789942525
Professional Enrollment ID
I20230613002476
Address ID
CO801098034CA4350XAVEX318
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for ANNA LEE WILSON (PA)

  • 4350 Limelight Ave Ste 205

    Castle Rock, CO 801098034

    Phone: (720) 686-7546

    Fax: (720) 686-7544

    Type: Location

  • 4440 Arapahoe Ave Ste 200

    Boulder, CO 803039101

    Phone: (303) 652-9222

    Fax: (303) 652-9333

    Type: Location

  • 4350 LIMELIGHT AVE STE 205

    CASTLE ROCK, CO 801098034

    Phone: (720) 686-7546

    Fax: (720) 686-7544

    Type: Mailing

  • 9397 CROWN CREST BLVD STE 300

    PARKER, CO 801388788

    Phone: (720) 686-7546

    Fax: (720) 686-7544

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $2,122.

Total Amount is formed as General ($2,122) + Research ($0) + Ownership ($0) = $2,122.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Janssen Biotech, Inc. ($618).

Total Amount

$2,122

General + Research + Ownership

Payments

63

Total payment records

General Amount

$2,122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2023-06-13

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
I20230613002476IPhysician AssistantCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80109)

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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: 4789942525View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YCO
Physician AssistantCO
Micrographic Dermatologic Surgery (Mds), DermatologyVA
D E R M A T O L O G YCO
Nurse PractitionerCO
D E R M A T O L O G YVA
Physician AssistantCO
Physician AssistantCO
Physician AssistantAZ

Reviews

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Frequently asked questions

How do I look up ANNA LEE WILSON (PA) by NPI?
Use NPI 1891494704 when you need to reference ANNA LEE WILSON (PA) in forms, claims, or directories.
Is ANNA LEE WILSON (PA) currently active in the NPI registry?
CMS-published data lists ANNA LEE WILSON (PA) as an active registrant.
Does ANNA LEE WILSON (PA) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for ANNA LEE WILSON (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for ANNA LEE WILSON (PA)?
The page summarizes Castle Rock, Colorado for ANNA LEE WILSON (PA); expand the address list for detail.
What if Castle Rock, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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