BRETT LEE WILSON PA
NPI 1194726307
Physician Assistant - Surgical in Liberty, MO
About Brett Lee Wilson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRETT LEE WILSON PA (NPI 1194726307) is an individual surgical provider in Liberty, Missouri, licensed in Missouri (2009014905) and active in the NPI registry since August 2005. He maintains a secondary practice location in Emporia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTY, MO 64068
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 Brett Wilson's NPI number?
The NPI number for Brett Wilson is 1194726307. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is Brett Wilson located?
Brett Wilson practices at 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068. The listed phone number is (816) 781-6066.
What is Brett Wilson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
When was this NPI record last updated?
The NPPES record for Brett Wilson was last updated on June 19, 2019. 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.
# Brett Lee Wilson, PA · NPI 1194726307
Surgical physician in Liberty, Missouri. Individual provider, active in the CMS NPPES registry since August 10, 2005.
## Identity
- **NPI:** 1194726307 (Entity type: Individual)
- **Enumerated:** August 10, 2005
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 2009014905 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2521 GLENN HENDREN DR STE 204, Liberty, MO 64068-3388
- **Phone:** (816) 781-6066
## Record status
- **NPPES last updated:** June 19, 2019
- **Other identifiers:** Medicaid 100002860A (KS); Other 50797021 (MO); Other 970000628 (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1194726307) · Data from the CMS NPPES public registry.