AMBER LEE WILSON (PA-C) – Physician Assistant, NPI 1205239803
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,584 PHYSICIAN ASSISTANT in TX
Provider Addresses for AMBER LEE WILSON (PA-C)
5407 ENCINO OAK WAY
KILLEEN, TX 765425952
Phone: (218) 791-7011
Type: Location
2880 Tricom St
N Charleston, SC 294069171
Phone: (843) 797-5050
Fax: (843) 797-3633
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Peerless Surgical Inc. ($62).
Total Amount
$112
General + Research + Ownership
Payments
6
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Peerless Surgical Inc. | $62 |
| Ferring Pharmaceuticals Inc. | $22 |
| Stryker Corporation | $19 |
| Ossur Americas, Inc. | $9 |
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: 2023-01-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230118002372 | I | Physician Assistant | SC | 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 76542)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | SC | |
| Physician Assistant | SC | |
| Physician Assistant | SC | |
| Orthopedic Surgery | SC | |
| - | SC | |
| Orthopedic Surgery | AZ | |
| Nurse Practitioner | SC | |
| Occupational Therapist In Private Practice | SC | |
| Nurse Practitioner | SC | |
| Sports Medicine, Orthopedic Surgery | SC |
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.