MRS. KELLY MARTIN WILSON PA-C
NPI 1396933461
Physician Assistant - Medical in Spartanburg, SC

Q: What is Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1396933461. It was assigned to this individual provider in the NPPES registry on October 13, 2007.

Q: What is Kelly 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 Kelly Wilson was last updated on November 9, 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 October 13, 2007PECOS EnrolledAccepts Medicare Assignment

60.97/100

CMS Quality Rating

1330 BOILING SPRINGS RD, SUITE 1600, SPARTANBURG, SC 29303(864) 582-6396 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kelly Martin Wilson Pa-c NPPES

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

MRS. KELLY MARTIN WILSON PA-C (NPI 1396933461) is an individual medical provider in Spartanburg, South Carolina, licensed in South Carolina (1237) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2007).

NPPES Registry Identity

NPI1396933461

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. KELLY MARTIN WILSONCredential: PA-C

Location Address1330 BOILING SPRINGS RD, SUITE 1600Spartanburg, SC 29303-4201

Mailing Address1330 Boiling Springs Rd, Suite 1600Spartanburg, SC 29303-4201 · (864) 582-6396

Phone(864) 582-6396

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2007

Enumeration DateOctober 13, 2007

Last NPPES UpdateNovember 9, 2012

✔ NPI 1396933461 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 SC · 1237

1330 BOILING SPRINGS RD, Spartanburg, SC 29303

Open in Google Maps ↗

Other Identifiers 1

Medicaid0886PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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. Kelly Martin 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 ID6800963190

PECOS Enrollment IDI20080929000620

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 5

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.

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.

228 services167 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

75 services30 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

32 services25 patients

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.

28 services26 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

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.

60.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

51.13

Promoting Interoperability

Improvement Activities

Cost

25.43

Reported Quality Measures

Breast Cancer Screening

0%177 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%122 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

47%47 patients3/55-star benchmark: 87%

Diabetes: Eye Exam

0%20 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%20 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

70%564 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

51%222 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%428 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%440 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

1%454 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 4% · 440 patients

4%440 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%21 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 233 patients

Patients totalRate: 27% · 233 patients

26%233 patients2/55-star benchmark: 100%

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.

DAVID H WHITESIDE FNP

Nurse Practitioner

1330 BOILING SPRINGS RD, SUITE 2500
SPARTANBURG, SC 29303

Spartanburg County (864) 585-5433

CARDIOSOM, LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

1330 BOILING SPRINGS RD, SUITE 2900
SPARTANBURG, SC 29303

Spartanburg County (864) 529-3460

SPARTANBURG REGIONAL MED CTR

Pediatrics

1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6345

SPARTANBURG MEDICAL CENTER

Neuromusculoskeletal Medicine & OMM

1330 BOILING SPRINGS RD, SUITE 1800
SPARTANBURG, SC 29303

Spartanburg County (864) 560-9646

GREER GROUP PRACTICE, LLC

Obstetrics & Gynecology (Reproductive Endocrinology)

1330 BOILING SPRINGS RD, SUITE 2200
SPARTANBURG, SC 29303

Spartanburg County (864) 583-2669

ERNEST N MISTR MD

Pediatrics

1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6345

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

Clinical Medical Laboratory

1330 BOILING SPRINGS RD
SPARTANBURG, SC 29303

Spartanburg County (864) 208-1126

LANDRIE FOX MORRIS PA

Physician Assistant (Surgical)

1330 BOILING SPRINGS RD, SUITE 1600
SPARTANBURG, SC 29303

Spartanburg County (864) 582-6396

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1396933461. It was assigned to this individual provider in the NPPES registry on October 13, 2007.

Where is Kelly Wilson located?

Kelly Wilson practices at 1330 Boiling Springs Rd Suite 1600, Spartanburg, SC 29303. The listed phone number is (864) 582-6396.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Wilson enrolled in Medicare?

Yes. Kelly 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 Kelly Wilson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Kelly 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 Kelly Wilson affiliated with any hospitals?

According to CMS data, Kelly Wilson is affiliated with Spartanburg Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on November 9, 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.