KATHRYN LYNN WILLSON PA-C
NPI 1508532219
Physician Assistant in Raleigh, NC

Q: What is Kathryn Willson's NPI number?

The NPI number for Kathryn Willson is 1508532219. It was assigned to this individual provider in the NPPES registry on August 22, 2021.

Q: What is Kathryn Willson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Willson was last updated on December 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2021PECOS EnrolledAccepts Medicare Assignment

4530 FAYETTEVILLE RD, RALEIGH, NC 27603(919) 235-1930 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2025, Dec 8, 2025, Aug 20, 2023 and 4 more (7 updates tracked since 2021).

On this page

About Kathryn Lynn Willson Pa-c NPPES

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

KATHRYN LYNN WILLSON PA-C (NPI 1508532219) is an individual physician assistant in Raleigh, North Carolina and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508532219

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHRYN LYNN WILLSONCredential: PA-C

Location Address4530 FAYETTEVILLE RDRaleigh, NC 27603-3614

Mailing Address4530 Fayetteville RdRaleigh, NC 27603-3614

Phone(919) 235-1930

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 22, 2021

Last NPPES UpdateDecember 18, 20257 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1508532219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

4530 FAYETTEVILLE RD, Raleigh, NC 27603

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Kathryn Lynn Willson 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 ID1254792773

PECOS Enrollment IDI20230822003617

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.

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.

40 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISAAC YAW BOADI NUAMAH

Nurse Practitioner (Family)