STEPHANIE CAROLINE WILSON PA-C
NPI 1235688300
Physician Assistant in Longmont, CO

Active since September 29, 2016
1551 PROFESSIONAL LN, SUITE 220, LONGMONT, CO 80501(720) 279-9098 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2017, Nov 16, 2016, Sep 29, 2016 (3 updates tracked since 2016).

About Stephanie Caroline Wilson Pa-c NPPES

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

STEPHANIE CAROLINE WILSON PA-C (NPI 1235688300) is an individual physician assistant in Longmont, Colorado, licensed in Colorado (PA.0004711) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1235688300
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE CAROLINE WILSONCredential: PA-C
Location Address1551 PROFESSIONAL LN, SUITE 220Longmont, CO 80501-6972
Mailing Address1551 Professional Ln, Suite 220Longmont, CO 80501-6972 · (720) 279-9098
Sole ProprietorNo
Enumeration DateSeptember 29, 2016
Last NPPES UpdateFebruary 13, 20173 updates tracked since enumeration
NPI 1235688300 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 CO · PA.0004711
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.
1551 PROFESSIONAL LN, Longmont, CO 80501

Other Names 1

Former Name (1)Stephanie Caroline Raup

Other Identifiers 2

Medicare PIN55144YWN5CO
Medicaid36125083CO

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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%232 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%263 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%255 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%263 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%263 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
16%263 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner
1551 PROFESSIONAL LN, SUITE 200
LONGMONT, CO 80501
Advanced Practice Midwife
1551 PROFESSIONAL LN
LONGMONT, CO 80501
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Dermatology
1551 PROFESSIONAL LN, SUITE 135
LONGMONT, CO 80501
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Dermatology
1551 PROFESSIONAL LN, SUITE 135
LONGMONT, CO 80501
Anesthesiology
1551 PROFESSIONAL LN, SUITE 100
LONGMONT, CO 80501

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 Stephanie Wilson's NPI number?

The NPI number for Stephanie Wilson is 1235688300. It was assigned to this individual provider in the NPPES registry on September 29, 2016. The provider is also known as Stephanie Caroline Raup.

Where is Stephanie Wilson located?

Stephanie Wilson practices at 1551 Professional Ln Suite 220, Longmont, CO 80501. The listed phone number is (720) 279-9098.

What is Stephanie Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Wilson was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.