KRYSTEN ROSE WILSON (PA-C) – Physician Assistant, NPI 1245812056

KRYSTEN ROSE WILSON (PA-C) is a healthcare provider. based in Flint, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KRYSTEN ROSE WILSON (PA-C) is 1245812056

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTEN ROSE WILSON (PA-C)
NPI
1245812056
Phone
(810) 262-6744
Address
1 Hurley Plz
Enumeration Date
22 April 2021
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312521810
Graduation Year
2020 (6 years ago)
PAC ID
7719388537
Group Practice PAC ID
7315487790
Professional Enrollment ID
I20210630000790
Address ID
MI496844050TR630XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for KRYSTEN ROSE WILSON (PA-C)

  • 1 Hurley Plz

    Flint, MI 485035902

    Phone: (810) 262-6744

    Type: Location

  • 10011 RUBY DR

    FLUSHING, MI 484339340

    Phone:

    Type: Mailing

  • 1 HURLEY PLZ

    FLINT, MI 485035902

    Phone: (810) 262-6744

    Type: Location

  • 7937 BARNEY RD

    TRAVERSE CITY, MI 496848327

    Phone:

    Type: Mailing

  • 630 W 14TH ST

    TRAVERSE CITY, MI 496844050

    Phone: (231) 570-8657

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-30

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
I20210630000790IPhysician AssistantMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4443$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
81002Urinalysis, manual test1717$0
96372Injection of drug or substance under skin or into muscle1212$0
View full utilization report →

Insurance plans in this area (ZIP 48503)

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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: 7315487790View full group profile
NameSpecialtyState
Physician AssistantIN
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check KRYSTEN ROSE WILSON (PA-C) using NPI 1245812056?
NPI 1245812056 belongs to KRYSTEN ROSE WILSON (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to KRYSTEN ROSE WILSON (PA-C)?
You should see KRYSTEN ROSE WILSON (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for KRYSTEN ROSE WILSON (PA-C)?
At a glance, KRYSTEN ROSE WILSON (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KRYSTEN ROSE WILSON (PA-C)?
Directory geography for KRYSTEN ROSE WILSON (PA-C) centers on Flint, Michigan.
Can I trust this NPI listing for KRYSTEN ROSE WILSON (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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