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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. MITCHELL REAGAN WILSON PA-S
NPI 1053219170
Student in an Organized Health Care Education/Training Program in Springfield, MO

Active since October 28, 2026
900 N BENTON AVE, SPRINGFIELD, MO 65802(417) 873-7879 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Mitchell Reagan Wilson Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MITCHELL REAGAN WILSON PA-S (NPI 1053219170) is an individual student in an organized health care education/training program in Springfield, Missouri and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1053219170
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MITCHELL REAGAN WILSONCredential: PA-S
Location Address900 N BENTON AVESpringfield, MO 65802-3712
Mailing Address6602 E Farm Road 132Springfield, MO 65802-7268
Phone(417) 873-7879
Sole ProprietorYes
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1053219170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 N BENTON AVE, Springfield, MO 65802
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN WEBBER
Physician Assistant
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 873-7879
ERIN E KINEMAN ATC
Emergency Medicine (Sports Medicine)
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 860-7528
LESTER E COX MEDICAL CENTERS
Nurse Practitioner
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 873-6300
ALYSSA GAFNER
Physician Assistant
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 873-7879
ANDREW DRISKELL
Physician Assistant (Medical)
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 873-7879
ANDREA WOODS ATC
Specialist/Technologist (Athletic Trainer)
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 873-6865
OLIVIA ACHESON ATC
Specialist/Technologist (Athletic Trainer)
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 873-7879
MORGAN CHRISTESON
Student in an Organized Health Care Education/Training Program
900 N BENTON AVE
SPRINGFIELD, MO 65802
Greene County (417) 873-7879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Wilson's NPI number?

The NPI number for Mitchell Wilson is 1053219170. It was assigned to this individual provider in the NPPES registry on October 28, 2026.

Where is Mitchell Wilson located?

Mitchell Wilson practices at 900 N Benton Ave, Springfield, MO 65802. The listed phone number is (417) 873-7879.

What is Mitchell Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mitchell Wilson was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.