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MS. TARA NICOLE WILSON PA-C
NPI 1174006035
Physician Assistant in Washington, DC

Active since September 07, 2018PECOS EnrolledAccepts Medicare Assignment
110 IRVING SREET NW, ROOM 4B-42, WASHINGTON, DC 20010(724) 831-6122 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Sep 7, 2018 (2 updates tracked since 2018).

About Ms. Tara Nicole Wilson Pa-c NPPES

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

MS. TARA NICOLE WILSON PA-C (NPI 1174006035) is an individual physician assistant in Washington, District Of Columbia, licensed in North Carolina (0010-11443) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1174006035
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. TARA NICOLE WILSONCredential: PA-C
Location Address110 IRVING SREET NW, ROOM 4B-42Washington, DC 20010-2975
Mailing Address423 E Beaver StZelienople, PA 16063-1201 · (724) 831-6122
Phone(724) 831-6122
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 7, 2018
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1174006035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-11443
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.
110 IRVING SREET NW, Washington, DC 20010
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Secondary Practice Location 1

Location 11200 N Elm StGreensboro, NC 27401-1004 · Phone (336) 522-8999 · Fax (336) 522-8998

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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. Tara Nicole 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 ID7618216656
PECOS Enrollment IDI20220312000123
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Tara Wilson's NPI number?

The NPI number for Tara Wilson is 1174006035. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

Where is Tara Wilson located?

Tara Wilson practices at 110 Irving Sreet NW Room 4b-42, Washington, DC 20010. The listed phone number is (724) 831-6122.

What is Tara Wilson's specialty?

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

Is Tara Wilson enrolled in Medicare?

Yes. Tara Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tara Wilson accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Tara 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.

Is Tara Wilson affiliated with any hospitals?

According to CMS data, Tara Wilson is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Tara Wilson was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.