CARL WILSON (PA-C) – Medical Physician Assistant, NPI 1386147957

CARL WILSON (PA-C) is a healthcare provider. based in Tumwater, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11596 (AZ). The NPI Number for CARL WILSON (PA-C) is 1386147957

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CARL WILSON (PA-C)
NPI
1386147957
Phone
(360) 754-6367
Address
150 DENNIS ST SW
Enumeration Date
9 March 2018
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
4688939960
Professional Enrollment ID
I20260413002045
Address ID
FL322241865JA4500XSXXX500

Contacts

Secure Messaging
cwilson2647735@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:8State licenses:2Other names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for CARL WILSON (PA-C)

  • 150, Dennis Street Southwest, Tumwater, Thurston County, Washington, 98501, United States

    STE A

    TUMWATER, WA 985015459

    Phone: (360) 754-6367

    Fax: (360) 754-6429

    Type: Location

  • PO BOX 860912

    MINNEAPOLIS, MN 554860912

    Phone:

    Type: Mailing

  • 13400 E SHEA BLVD

    SCOTTSDALE, AZ 852595499

    Phone: (480) 301-8000

    Type: Location

  • 150 DENNIS ST SW STE A

    TUMWATER, WA 985015459

    Phone: (360) 754-6367

    Fax: (360) 754-6429

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $492.

Total Amount is formed as General ($492) + Research ($0) + Ownership ($0) = $492.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($174).

Total Amount

$492

General + Research + Ownership

Payments

20

Total payment records

General Amount

$492

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2019-03-27

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
I20180607002955IPhysician AssistantNVTBD
I20190327002336IPhysician AssistantWATBD

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 minutes290191$0
92567Test to assess middle ear function176148$0
69210Removal of impacted ear wax160119$0
92557Comprehensive hearing and speech recognition test156132$0
99203New patient office or other outpatient visit, 30-44 minutes127127$0
View full utilization report →

Insurance plans in this area (ZIP 98501)

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Reviews

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Frequently asked questions

Can I verify CARL WILSON (PA-C) with an NPI only?
You can start verification with NPI 1386147957 for CARL WILSON (PA-C), then check state licensing separately.
Can I rely on CARL WILSON (PA-C) being an active provider?
As of the registry snapshot, CARL WILSON (PA-C) is marked active.
What is CARL WILSON (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for CARL WILSON (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for CARL WILSON (PA-C)?
CARL WILSON (PA-C)'s geographic hint is Tumwater, Washington in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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