Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAYKE MCKINZIE RAY WILSON PA-C
NPI 1700619681
Physician Assistant in Lubbock, TX

Active since August 26, 2024
4015 22ND PL, LUBBOCK, TX 79410(806) 725-0000(806) 723-7146 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Blayke Mckinzie Ray Wilson Pa-c NPPES

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

BLAYKE MCKINZIE RAY WILSON PA-C (NPI 1700619681) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA20926) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1700619681
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLAYKE MCKINZIE RAY WILSONCredential: PA-C
Location Address4015 22ND PLLubbock, TX 79410-1119
Mailing Address3601 4th StLubbock, TX 79430-0002 · (806) 743-2244
Fax(806) 723-7146
Sole ProprietorNo
Enumeration DateAugust 26, 2024
Last NPPES UpdateNovember 2, 2026
NPPES CertifiedNovember 2, 2026
✔ NPI 1700619681 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 TX · PA20926
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.
4015 22ND PL, Lubbock, TX 79410

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.

Pediatrics (Neonatal-Perinatal Medicine)
4015 22ND PL
LUBBOCK, TX 79410
Physician Assistant
4015 22ND PL
LUBBOCK, TX 79410
Registered Nurse
4015 22ND PL
LUBBOCK, TX 79410
Social Worker (Clinical)
4015 22ND PL
LUBBOCK, TX 79410
Pediatrics
4015 22ND PL
LUBBOCK, TX 79410
Nurse Practitioner (Pediatrics)
4015 22ND PL
LUBBOCK, TX 79410
Nurse Practitioner (Neonatal)
4015 22ND PL
LUBBOCK, TX 79410
Nurse Practitioner (Neonatal)
4015 22ND PL
LUBBOCK, TX 79410

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 Blayke Wilson's NPI number?

The NPI number for Blayke Wilson is 1700619681. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Blayke Wilson located?

Blayke Wilson practices at 4015 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 725-0000.

What is Blayke 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 Blayke Wilson was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.