AMANDA MARIE WILSON (PA-C) – Physician Assistant, NPI 1386357101

AMANDA MARIE WILSON (PA-C) is a healthcare provider. based in Wallingford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for AMANDA MARIE WILSON (PA-C) is 1386357101

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARIE WILSON (PA-C)
NPI
1386357101
Phone
Not provided
Address
1062 BARNES RD STE 300
Enumeration Date
27 December 2022
Last Update Date
27 December 2022

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8605220604
Graduation Year
2022 (4 years ago)
PAC ID
8527430206
Group Practice PAC ID
7113916149
Professional Enrollment ID
I20230206001646
Address ID
CT060334380GL305XXBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for AMANDA MARIE WILSON (PA-C)

  • 1062 BARNES RD STE 300

    WALLINGFORD, CT 064922576

    Phone:

    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 36 Open Payments records for all available years, with a total value of $881.

Total Amount is formed as General ($881) + Research ($0) + Ownership ($0) = $881.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($170).

Total Amount

$881

General + Research + Ownership

Payments

36

Total payment records

General Amount

$881

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2023-02-06

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
I20230206001646IPhysician AssistantCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes137125$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report130119$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4435$0
View full utilization report →

Insurance plans in this area (ZIP 06492)

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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: 7113916149View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NY
Physician AssistantCT
Nurse PractitionerCT
Cardiovascular Disease (Cardiology)CT
Nurse PractitionerCT
Cardiovascular Disease (Cardiology), Internal MedicineCT
Physician AssistantMA
Cardiovascular Disease (Cardiology), Internal MedicineCT
Physician AssistantMA
-NY

Reviews

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Frequently asked questions

Can I use this page to confirm AMANDA MARIE WILSON (PA-C)'s NPI?
Yes. AMANDA MARIE WILSON (PA-C) is listed with NPI 1386357101 in the public NPI dataset.
Does CMS list AMANDA MARIE WILSON (PA-C) as active?
Yes — AMANDA MARIE WILSON (PA-C) is active in the NPI listing used on this page.
What is AMANDA MARIE WILSON (PA-C) best known for clinically?
Directory data describes AMANDA MARIE WILSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for AMANDA MARIE WILSON (PA-C)?
AMANDA MARIE WILSON (PA-C)'s geographic hint is Wallingford, Connecticut in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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