ANTOINETTE WILSON
NPI 1174851992
Physician Assistant - Medical in Mckeesport, PA
About Antoinette Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTOINETTE WILSON (NPI 1174851992) is an individual medical provider in Mckeesport, Pennsylvania, licensed in Pennsylvania (MA053944) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Antoinette Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MCKEESPORT, PA 15132
MCKEESPORT, PA 15132
MCKEESPORT, PA 15132
MCKEESPORT, PA 15132
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 Antoinette Wilson's NPI number?
The NPI number for Antoinette Wilson is 1174851992. It was assigned to this individual provider in the NPPES registry on December 7, 2009.
Where is Antoinette Wilson located?
Antoinette Wilson practices at 2347 Fifth Ave, Mckeesport, PA 15132. The listed phone number is (412) 673-5504.
What is Antoinette Wilson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Antoinette Wilson enrolled in Medicare?
Yes. Antoinette Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Antoinette Wilson was last updated on March 25, 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.
# Antoinette Wilson · NPI 1174851992
Medical physician in Mckeesport, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 7, 2009.
## Identity
- **NPI:** 1174851992 (Entity type: Individual)
- **Enumerated:** December 7, 2009
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** MA053944 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2347 FIFTH AVE, Mckeesport, PA 15132-1126
- **Phone:** (412) 673-5504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174851992) · Data from the CMS NPPES public registry.