GWEN WILSON PA
NPI 1497727218
Physician Assistant in Gallup, NM

Active since February 06, 2006
2111 COLLEGE DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, GALLUP, NM 87301(505) 863-1820 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gwen Wilson Pa NPPES

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

GWEN WILSON PA (NPI 1497727218) is an individual physician assistant in Gallup, New Mexico, licensed in New Mexico (88-PA-01) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1497727218
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGWEN WILSONCredential: PA
Location Address2111 COLLEGE DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICESGallup, NM 87301-5600
Mailing Address1901 Redrock Dr, Pfs DeptGallup, NM 87301-5683 · (505) 863-7000
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1497727218 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 NM · 88-PA-01
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.

2111 COLLEGE DR, Gallup, NM 87301

Other Identifiers 6

Medicaid326240AZ
Other10002165NM · Lovelace Health/salud
Medicare ID-Type UnspecifiedPA88011
Medicare UPINR01444
Medicaid00093518NM
OtherPROVP16800Molina

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.

Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301

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 Gwen Wilson's NPI number?

The NPI number for Gwen Wilson is 1497727218. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Gwen Wilson located?

Gwen Wilson practices at 2111 College Dr Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301. The listed phone number is (505) 863-1820.

What is Gwen 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 Gwen Wilson was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.