ANNIE WILSON (PA-C) – Physician Assistant, NPI 1174904510
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANNIE WILSON (PA-C)
PO BOX 936
LONDON, KY 407430936
Phone:
Type: Mailing
1401 HARRODSBURG RD STE C100
LEXINGTON, KY 405041780
Phone: (859) 278-4960
Fax: (859) 277-2840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $346.
Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medtronic, Inc. ($170).
Total Amount
$346
General + Research + Ownership
Payments
18
Total payment records
General Amount
$346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $170 |
| LeMaitre Vascular, Inc. | $57 |
| Baxter Healthcare | $33 |
| Avinger Inc. | $27 |
| Silk Road Medical, Inc. | $19 |
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 40743)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | NH | |
| Physician Assistant | NC | |
| Physician Assistant | KY | |
| Vascular Surgery, General Surgery | KY | |
| Physician Assistant | KY | |
| - | KY | |
| Vascular Surgery | CO | |
| Physician Assistant | KY | |
| - | KY | |
| Nurse Practitioner | MI |
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