CHRISTOPHER WILSON (PA-C) – Physician Assistant, NPI 1073136784

CHRISTOPHER WILSON (PA-C) is a healthcare provider. based in Destin, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9113008 (FL). The NPI Number for CHRISTOPHER WILSON (PA-C) is 1073136784

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER WILSON (PA-C)
NPI
1073136784
Phone
Not provided
Address
3620 AZALEA DR
Enumeration Date
28 May 2020
Last Update Date
28 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
7810393063
Group Practice PAC ID
9638215734
Professional Enrollment ID
I20210914000282
Address ID
FL325032254PE125XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for CHRISTOPHER WILSON (PA-C)

  • 3620 AZALEA DR

    DESTIN, FL 325412395

    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 174 Open Payments records for all available years, with a total value of $2,822.

Total Amount is formed as General ($2,822) + Research ($0) + Ownership ($0) = $2,822.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($637).

Total Amount

$2,822

General + Research + Ownership

Payments

174

Total payment records

General Amount

$2,822

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2021-09-14

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
I20210914000282IPhysician AssistantFLTBD

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 minutes209151$0
99215Established patient office or other outpatient visit, 40-54 minutes8967$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report8357$0
99205New patient office or other outpatient visit, 60-74 minutes3535$0
99213Established patient office or other outpatient visit, 20-29 minutes3433$0
View full utilization report →

Insurance plans in this area (ZIP 32541)

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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: 9638215734View full group profile

Reviews

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Frequently asked questions

What is the standard ID for CHRISTOPHER WILSON (PA-C) in the U.S.?
In the U.S., CHRISTOPHER WILSON (PA-C) is identified by NPI 1073136784.
Is CHRISTOPHER WILSON (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists CHRISTOPHER WILSON (PA-C) as active.
How should patients interpret CHRISTOPHER WILSON (PA-C)'s specialty?
The extract shows Physician Assistant for CHRISTOPHER WILSON (PA-C). Clinical services aligned with this taxonomy classification.
Can patients visit CHRISTOPHER WILSON (PA-C) in Destin, Florida?
For routing, start with Destin, Florida for CHRISTOPHER WILSON (PA-C), then verify phone and hours locally.
Who maintains CHRISTOPHER WILSON (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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