MRS. RENEE M WILSON (PA-C) – Medical Physician Assistant, NPI 1215019534
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for MRS. RENEE M WILSON (PA-C)
West Bannock Street, Downtown, Boise, Ada County, Idaho, 83701, United States
BOISE, ID 837026035
Phone: (208) 343-1702
Fax: (208) 342-7042
Type: Mailing
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $1,728.
Total Amount is formed as General ($1,728) + Research ($0) + Ownership ($0) = $1,728.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($371).
Total Amount
$1,728
General + Research + Ownership
Payments
54
Total payment records
General Amount
$1,728
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $371 |
| ABBVIE INC. | $197 |
| Sun Pharmaceutical Industries Inc. | $188 |
| Janssen Biotech, Inc. | $136 |
| UCB, Inc. | $112 |
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: 2005-06-16
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 |
|---|---|---|---|---|
| I20050616001088 | I | Physician Assistant | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 284 | 62 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 121 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 115 | 92 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 106 | 106 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 102 | 93 | $0 |
Insurance plans in this area (ZIP 83702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | MN | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | ID |
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