THERESA LYNN WILSON PA-C
NPI 1376899351
Physician Assistant - Medical in Lanham, MD

Q: What is Theresa Wilson's NPI number?

The NPI number for Theresa Wilson is 1376899351. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Q: What is Theresa 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 Theresa Wilson was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 27, 2012PECOS Enrolled

8118 GOOD LUCK RD, LANHAM, MD 20706(301) 552-8118 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theresa Lynn Wilson Pa-c NPPES

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

THERESA LYNN WILSON PA-C (NPI 1376899351) is an individual medical provider in Lanham, Maryland, licensed in Maryland (C0001801) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376899351

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTHERESA LYNN WILSONCredential: PA-C

Location Address8118 GOOD LUCK RDLanham, MD 20706-3574

Mailing Address122 Lafayette AveLaurel, MD 20707-4512 · (301) 498-5990 · Fax (301) 498-6576

Phone(301) 552-8118

Sole ProprietorNo

Enumeration DateJuly 27, 2012

Last NPPES UpdateSeptember 4, 2012

✔ NPI 1376899351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in MD · C0001801

8118 GOOD LUCK RD, Lanham, MD 20706

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Lynn Wilson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

56 services54 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

55 services55 patients

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.

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