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MR. CARY B WILSON PA-C
NPI 1700067378
Physician Assistant in Rohnert Park, CA

Active since November 23, 2007PECOS Enrolled
5900 STATE FARM DR STE 200, ROHNERT PARK, CA 94928(707) 559-7500 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Cary B Wilson Pa-c NPPES

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

MR. CARY B WILSON PA-C (NPI 1700067378) is an individual physician assistant in Rohnert Park, California, licensed in Montana (56256) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700067378
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARY B WILSONCredential: PA-C
Location Address5900 STATE FARM DR STE 200Rohnert Park, CA 94928-2149
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500
Phone(707) 559-7500
Sole ProprietorNo
Enumeration DateNovember 23, 2007
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1700067378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MT · 56256
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 56256 (CA)
5900 STATE FARM DR STE 200, Rohnert Park, CA 94928
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Other Identifiers 1

Medicaid1700067378MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Cary B 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 94928 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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 6

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

MS. LAURA MARTIN M.D.
Family Medicine
5900 STATE FARM DR STE 200
ROHNERT PARK, CA 94928
Sonoma County (707) 559-7500
SEAN NADALIN PA
Physician Assistant
5900 STATE FARM DR STE 200
ROHNERT PARK, CA 94928
Sonoma County (707) 559-7500
JOHN BOREN HALLETT MD
Family Medicine
5900 STATE FARM DR STE 200
ROHNERT PARK, CA 94928
Sonoma County (707) 559-7500
JESUS DIMAS-ARRIAGA REGISTERED DIETITIAN
Dietitian, Registered
5900 STATE FARM DR STE 200
ROHNERT PARK, CA 94928
Sonoma County (707) 559-7600
PAULA PELAVIN P.A.
Physician Assistant
5900 STATE FARM DR STE 200
ROHNERT PARK, CA 94928
Sonoma County (707) 559-7500
ELISA PUJALS M.D.
Family Medicine
5900 STATE FARM DR STE 200
ROHNERT PARK, CA 94928
Sonoma County (707) 559-7500

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 Cary Wilson's NPI number?

The NPI number for Cary Wilson is 1700067378. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Where is Cary Wilson located?

Cary Wilson practices at 5900 State Farm Dr Ste 200, Rohnert Park, CA 94928. The listed phone number is (707) 559-7500.

What is Cary Wilson's specialty?

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

Is Cary Wilson enrolled in Medicare?

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

What insurance does Cary Wilson accept?

Health plans from Providence Health Plan list Cary 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.

When was this NPI record last updated?

The NPPES record for Cary Wilson was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.