MS. RACHAEL LEEANN WILSON PA-C
NPI 1083192488
Physician Assistant in Forest Grove, OR

Q: What is Rachael Wilson's NPI number?

The NPI number for Rachael Wilson is 1083192488. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Q: What is Rachael Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachael Wilson was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since July 30, 2018PECOS EnrolledAccepts Medicare Assignment

2043 COLLEGE WAY, FOREST GROVE, OR 97116(503) 352-6151 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2021, Oct 12, 2018, Jul 30, 2018 (3 updates tracked since 2018).

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About Ms. Rachael Leeann Wilson Pa-c NPPES

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

MS. RACHAEL LEEANN WILSON PA-C (NPI 1083192488) is an individual physician assistant in Forest Grove, Oregon, licensed in Ohio (50.006457) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tacoma, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083192488

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. RACHAEL LEEANN WILSONCredential: PA-C

Location Address2043 COLLEGE WAYForest Grove, OR 97116-1756

Mailing Address3170 Kettering Blvd, Building B 3rd FloorMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811

Phone(503) 352-6151

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 30, 2018

Last NPPES UpdateJanuary 15, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2021

✔ NPI 1083192488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.006457

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 ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

2043 COLLEGE WAY, Forest Grove, OR 97116

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Secondary Practice Location 1

Location 1315 M.L.K. WayTacoma, WA 98405 · Phone (253) 406-1000

Other Identifiers 1

OtherPA60890324WA · Washington State Lisence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Rachael Leeann Wilson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42551632

PECOS Enrollment IDI20210120001319

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 97116 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.

KIRSTIE DU

Student in an Organized Health Care Education/Training Program