MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1467976084

MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA9044 (MA). The NPI Number for MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT) is 1467976084

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT)
NPI
1467976084
Phone
(413) 794-5700
Address
280 CHESTNUT ST FL 2
Enumeration Date
26 July 2017
Last Update Date
23 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
4880969260
Group Practice PAC ID
5991602971
Professional Enrollment ID
I20221220000203
Address ID
MA011991001SP280XXSTXX312
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT)

  • 280 CHESTNUT ST FL 2

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    Type: Mailing

  • 759 CHESTNUT ST STE C3350

    SPRINGFIELD, MA 011071619

    Phone: (413) 794-6297

    Fax: (413) 794-1767

    Type: Location

  • Union Street, Westfield, Plymouth County, Iowa, United States

    WESTFIELD, MA 010852458

    Phone:

    Type: Mailing

  • 201 CHESTNUT HILL RD

    STAFFORD SPRINGS, CT 060764005

    Phone: (860) 684-4251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $735.

Total Amount is formed as General ($735) + Research ($0) + Ownership ($0) = $735.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($282).

Total Amount

$735

General + Research + Ownership

Payments

35

Total payment records

General Amount

$735

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2022-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171011001711IPhysician AssistantCTTBD
I20221220000203IPhysician AssistantMATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes245106$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7918$0
99239Hospital discharge day management, more than 30 minutes7878$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6935$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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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: 5991602971View full group profile

Reviews

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Frequently asked questions

How do I look up MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT) by NPI?
Use NPI 1467976084 when you need to reference MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT) in forms, claims, or directories.
Is MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT) active in the national directory?
MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT)'s public NPI profile is in an active state.
What kind of provider is MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT)?
The page reflects Medical Physician Assistant for MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT)?
The snapshot lists Springfield, Massachusetts for MRS. AMANDA JEAN WILSON (PHYSICIAN ASSISTANT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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