KIA WILSON PA
NPI 1083128730
Physician Assistant in Salt Lake City, UT

Active since November 16, 2017PECOS Enrolled
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 674-1405 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2021, Nov 9, 2021, Jul 23, 2020 and 1 more (4 updates tracked since 2017).

About Kia Wilson Pa NPPES

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

KIA WILSON PA (NPI 1083128730) is an individual physician assistant in Salt Lake City, Utah and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ogden.

NPPES Registry Identity

NPI1083128730
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIA WILSONCredential: PA
Location Address375 S CHIPETA WAYSalt Lake City, UT 84108-1260
Mailing Address5955 Wasatch DrOgden, UT 84403-5298 · (801) 674-1405
Sole ProprietorNo
Enumeration DateNovember 16, 2017
Last NPPES UpdateDecember 27, 20214 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
NPI 1083128730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 9888137-4810 (UT)
375 S CHIPETA WAY, Salt Lake City, UT 84108

Secondary Practice Location 1

Location 13576 Tyler AveOgden, UT 84403-2163 · Phone (801) 387-7678

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kia Wilson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine (Sports Medicine)
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
General Practice
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY, SUITE A200
SALT LAKE CITY, UT 84108

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 Kia Wilson's NPI number?

The NPI number for Kia Wilson is 1083128730. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Kia Wilson located?

Kia Wilson practices at 375 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 674-1405.

What is Kia Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kia Wilson enrolled in Medicare?

Yes. Kia Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Kia Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas list Kia Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kia Wilson was last updated on December 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.