STACEY A WILSON PA-C
NPI 1184909368
Physician Assistant - Medical in Aurora, CO

Q: What is Stacey Wilson's NPI number?

The NPI number for Stacey Wilson is 1184909368. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Q: What is Stacey Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Wilson was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 19, 2011PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2018, Jan 14, 2016 (2 updates tracked since 2016).

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About Stacey A Wilson Pa-c NPPES

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

STACEY A WILSON PA-C (NPI 1184909368) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0003321) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1184909368

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSTACEY A WILSONCredential: PA-C

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 807-0581

Phone(720) 848-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 19, 2011

Last NPPES UpdateOctober 19, 20182 updates tracked since enumeration

✔ NPI 1184909368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0003321

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3321 (CO)

12605 E 16TH AVE, Aurora, CO 80045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Stacey A 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 ID4183899313

PECOS Enrollment IDI20111215000831

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)