HOLLY WILSON (PHYSICIAN ASSISTANT) – Surgical Physician Assistant, NPI 1962707182
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HOLLY WILSON (PHYSICIAN ASSISTANT)
919 COUNTRY RIDGE DR
JEFFERSON CITY, MO 651095738
Phone: (573) 690-3390
Type: Mailing
800 HOSPITAL DR
COLUMBIA, MO 652015275
Phone: (573) 814-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-22
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65109)
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