1. Home
  2. Directory
  3. Florida
  4. St Johns
  5. Physician Assistant
  6. NPI Profile

MRS. KATHERINE ANN WILSON PA-C
NPI 1235353988
Physician Assistant in St. Johns, FL

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
30 ARDISIA LANE, ST. JOHNS, FL 32259(904) 287-2794(904) 390-7458 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Dec 31, 2018, Nov 20, 2015 (3 updates tracked since 2015).

About Mrs. Katherine Ann Wilson Pa-c NPPES

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

MRS. KATHERINE ANN WILSON PA-C (NPI 1235353988) is an individual physician assistant in St. Johns, Florida, licensed in Florida (PA9104552) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in St Augustine.

NPPES Registry Identity

NPI1235353988
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KATHERINE ANN WILSONCredential: PA-C
Location Address30 ARDISIA LANESt. Johns, FL 32259
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 287-2794
Fax(904) 390-7458
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 12, 2007
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1235353988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9104552✔ Licensed in GA · 005035
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.
30 ARDISIA LANE, St. Johns, FL 32259
Open in Google Maps ↗

Secondary Practice Location 1

Location 1559 W Twincourt Trl Unit 601St Augustine, FL 32095-8805 · Phone (904) 940-1441 · Fax (904) 940-1490

Other Identifiers 1

Medicaid411072211AGA

Accepted Insurance

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

Mrs. Katherine Ann 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 ID941308787
PECOS Enrollment IDI20111107000709
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
112 services79 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.
104 services73 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.
98 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
94 services94 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
45 services44 patients
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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAIME LYN KIBLER-MCCORMICK D.O.
Family Medicine
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
NINEVEH A MCINTOSH PA-C
Physician Assistant
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
SARAH HAGERBRANT DO
Family Medicine
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
DR. DONALD JACOCKS LEVINE M.D.
Family Medicine
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
VANESSA M. BERRIOS PA-C
Physician Assistant
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794

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 Katherine Wilson's NPI number?

The NPI number for Katherine Wilson is 1235353988. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Katherine Wilson located?

Katherine Wilson practices at 30 Ardisia Lane, St. Johns, FL 32259. The listed phone number is (904) 287-2794.

What is Katherine Wilson's specialty?

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

Is Katherine Wilson enrolled in Medicare?

Yes. Katherine 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 Katherine Wilson accept?

Health plans from AvMed list Katherine 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 Katherine Wilson affiliated with any hospitals?

According to CMS data, Katherine Wilson is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Katherine Wilson was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.