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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN WILSON PA-C
NPI 1396709804
Nurse Practitioner - Pediatrics in Mount Vernon, WA

Active since April 12, 2006
1400 E KINCAID ST, MOUNT VERNON, WA 98274(360) 428-2500(360) 428-6485 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Wilson Pa-c NPPES

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

SUSAN WILSON PA-C (NPI 1396709804) is an individual pediatrics provider in Mount Vernon, Washington, licensed in Washington (PA10000103) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1396709804
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN WILSONCredential: PA-C
Location Address1400 E KINCAID STMount Vernon, WA 98274-4127
Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485
Phone(360) 428-2500
Fax(360) 428-6485
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1396709804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WA · PA10000103
1400 E KINCAID ST, Mount Vernon, WA 98274
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Other Identifiers 1

Medicaid8354672WA

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.

GREGORY WILLIAM MALLEK M.D.
Obstetrics & Gynecology
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2575
PUBLIC HOSPITAL DIST NO 1 SKAGIT
General Practice
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
SKAGIT VALLEY MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
ERIN E CHARLES MD
Pediatrics
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
WILLIAM N HINDERSTEIN MD
Obstetrics & Gynecology
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
ANN D BARSHNEY ARNP
Nurse Practitioner
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
PATRICIA A FRANKLIN MD
Surgery
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
ERIC G POWELL DPM
Podiatrist (Foot & Ankle Surgery)
1400 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 848-4120

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 Susan Wilson's NPI number?

The NPI number for Susan Wilson is 1396709804. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Susan Wilson located?

Susan Wilson practices at 1400 E Kincaid St, Mount Vernon, WA 98274. The listed phone number is (360) 428-2500.

What is Susan Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Wilson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.