KEVIN WILSON (PA-C) – Medical Physician Assistant, NPI 1063424984

KEVIN WILSON (PA-C) is a healthcare provider. based in Belleville, Illinois. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 085-000488 (IL). The NPI Number for KEVIN WILSON (PA-C) is 1063424984

Main info

Male
Name
KEVIN WILSON (PA-C)
NPI
1063424984
Phone
(618) 257-2029
Address
130 LINCOLN PLACE CT
Enumeration Date
12 August 2006
Last Update Date
21 March 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KEVIN WILSON (PA-C)

  • 130 LINCOLN PLACE CT

    BELLEVILLE, IL 622215884

    Phone: (618) 257-2029

    Fax: (618) 235-5371

    Type: Location

  • Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    MEMORIAL HOSPITAL CREDENTIALING DEPARTMENT

    BELLEVILLE, IL 62226

    Phone: (618) 257-4644

    Fax: (618) 257-6946

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $322.

Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.

Last reported payment date: 2023-08-24 • Largest payer in this snapshot: Amgen Inc. ($123).

Total Amount

$322

General + Research + Ownership

Payments

3

Total payment records

General Amount

$322

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-24

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 62221)

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Reviews

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Frequently asked questions

What is the registry number for KEVIN WILSON (PA-C)?
The registry entry for KEVIN WILSON (PA-C) shows NPI 1063424984.
Does the public listing show KEVIN WILSON (PA-C) as active?
KEVIN WILSON (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does KEVIN WILSON (PA-C) provide?
KEVIN WILSON (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN WILSON (PA-C)?
KEVIN WILSON (PA-C) shows a connection to Belleville, Illinois in registry-derived data.
Why is information missing for KEVIN WILSON (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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