DANIELLE WILSON (PA-C) – Physician Assistant, NPI 1790245702
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DANIELLE WILSON (PA-C)
89, Stony Brook Road, Westford, Middlesex County, Massachusetts, 01886-2179, United States
WESTFORD, MA 018861905
Phone: (978) 835-4655
Type: Mailing
Roche Brothers Way, Easton, Bristol County, Massachusetts, 02072, United States
NORTH EASTON, MA 023561000
Phone: (781) 344-3535
Type: Location
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 029145375
Phone:
Type: Mailing
15 ROCHE BROS WAY STE 200
NORTH EASTON, MA 023561000
Phone: (781) 344-3535
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-01-05 • Largest payer in this snapshot: Dentsply Sirona Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dentsply Sirona Inc | $15 |
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: 2019-07-03
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 |
|---|---|---|---|---|
| I20190703001649 | I | Physician Assistant | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01886)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Orthopedic Surgery | MA | |
| Occupational Therapist In Private Practice | MA | |
| Physical Medicine And Rehabilitation | MA | |
| Hand Surgery, Orthopedic Surgery | MA | |
| Physician Assistant | MA | |
| Orthopedic Surgery | MA | |
| - | MA | |
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.