WILLIAM PATRICK WILSON (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1124783584
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 PHYSICIAN ASSISTANT in NM
Provider Addresses for WILLIAM PATRICK WILSON (PHYSICIAN ASSISTANT)
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 871064310
Phone: (505) 272-1476
Type: Mailing
4230 CAMP HORNER RD
VESTAVIA, AL 352433043
Phone: (205) 240-3760
Type: Mailing
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
Phone: (505) 272-0621
Fax: (505) 925-2487
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: 2024-11-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220517002982 | I | Physician Assistant | NM | TBD |
| I20241115003506 | I | Physician Assistant | FL | 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 87106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Internal Medicine | AR | |
| Physician Assistant | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Internal Medicine | NC | |
| H O S P I T A L I S T | CA | |
| Family Practice | FL | |
| Internal Medicine | FL |
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