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MS. KENDRA NICOLE WILSON PA-C
NPI 1689142259
Physician Assistant in Oxford, FL

Active since November 12, 2018PECOS Enrolled
10840 N US HIGHWAY 301, OXFORD, FL 34484(352) 445-1200 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2019, Nov 12, 2018 (2 updates tracked since 2018).

About Ms. Kendra Nicole Wilson Pa-c NPPES

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

MS. KENDRA NICOLE WILSON PA-C (NPI 1689142259) is an individual physician assistant in Oxford, Florida and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pembroke Pines.

NPPES Registry Identity

NPI1689142259
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KENDRA NICOLE WILSONCredential: PA-C
Location Address10840 N US HIGHWAY 301Oxford, FL 34484
Mailing Address10840 N Us Highway 301Oxford, FL 34484-3558 · (352) 445-1200
Phone(352) 445-1200
Sole ProprietorNo
Enumeration DateNovember 12, 2018
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
✔ NPI 1689142259 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.
10840 N US HIGHWAY 301, Oxford, FL 34484
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Secondary Practice Location 1

Location 11321 N Palm AvePembroke Pines, FL 33026-3345 · Phone (954) 440-7827

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kendra Nicole 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34484 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 5

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

CLARK CLINIC INC
Internal Medicine
10840 N US HIGHWAY 301
OXFORD, FL 34484
Sumter County (352) 787-1600
SHAINA BRIANN FLOWERS DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10840 N US HIGHWAY 301
OXFORD, FL 34484
Sumter County (352) 445-1200
LOWELL F CLARK MD PA
Internal Medicine
10840 N US HIGHWAY 301
OXFORD, FL 34484
Sumter County (352) 787-1600
RAHEEN BUSH PA
Physician Assistant
10840 N US HIGHWAY 301
OXFORD, FL 34484
Sumter County (239) 332-3480
STEPHEN MARENGO MFT INTERN
Marriage & Family Therapist
10840 N US HIGHWAY 301
OXFORD, FL 34484
Sumter County (352) 445-1200

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 Kendra Wilson's NPI number?

The NPI number for Kendra Wilson is 1689142259. It was assigned to this individual provider in the NPPES registry on November 12, 2018.

Where is Kendra Wilson located?

Kendra Wilson practices at 10840 N Us Highway 301, Oxford, FL 34484. The listed phone number is (352) 445-1200.

What is Kendra Wilson's specialty?

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

Is Kendra Wilson enrolled in Medicare?

Yes. Kendra Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendra Wilson was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.