TIFFANY KAY WILSON P.A.
NPI 1710920178
Physician Assistant in Henrietta, TX

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
412 W SOUTH ST, HENRIETTA, TX 76365(940) 235-3403(580) 272-0186 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany Kay Wilson P.a. NPPES

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

TIFFANY KAY WILSON P.A. (NPI 1710920178) is an individual physician assistant in Henrietta, Texas, licensed in Texas (PA04018) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1710920178
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY KAY WILSONCredential: P.A.
Location Address412 W SOUTH STHenrietta, TX 76365-3348
Mailing Address412 W South StHenrietta, TX 76365-3348 · (940) 235-3403 · Fax (580) 272-0186
Fax(580) 272-0186
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 19, 2021
NPPES CertifiedMay 19, 2021
NPI 1710920178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TX · PA04018 Licensed in OK · 2381
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.

412 W SOUTH ST, Henrietta, TX 76365

Other Identifiers 1

Medicaid185065301TX

Accepted 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

Tiffany Kay Wilson P.a. 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 ID941284582
PECOS Enrollment IDI20140806000919
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.

Hospital Affiliations CMS Care Compare 5

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Childress Regional Medical Center

Acute Care Hospitals · Childress, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450369
LocationHwy 83 NorthChildress, TX 79201 · Childress County
Emergency services Birthing friendly

Parkview Hospital

Critical Access Hospitals · Wheeler, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451334
Location901 S. SweetwaterWheeler, TX 79096 · Wheeler County
Emergency services

Shamrock General Hospital

Critical Access Hospitals · Shamrock, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451340
Location1000 South Main StreetShamrock, TX 79079 · Wheeler County
Emergency services

Collingsworth General Hospital

Critical Access Hospitals · Wellington, TX
OwnershipProprietary
CMS Certification Number451355
Location1013 15th StWellington, TX 79095 · Collingsworth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76365 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$19.75 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier15 claims15 services$868.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$107.27 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims57,750 services$0.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier17 claims17 services$184.48 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Family Medicine
412 W SOUTH ST
HENRIETTA, TX 76365
Physician Assistant (Medical)
412 W SOUTH ST
HENRIETTA, TX 76365

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 Tiffany Wilson's NPI number?

The NPI number for Tiffany Wilson is 1710920178. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Tiffany Wilson located?

Tiffany Wilson practices at 412 W South St, Henrietta, TX 76365. The listed phone number is (940) 235-3403.

What is Tiffany Wilson's specialty?

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

Is Tiffany Wilson enrolled in Medicare?

Yes. Tiffany Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tiffany Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Tiffany 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.

Is Tiffany Wilson affiliated with any hospitals?

According to CMS data, Tiffany Wilson is affiliated with United Regional Health Care System, Childress Regional Medical Center, Parkview Hospital, Shamrock General Hospital and Collingsworth General Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Wilson was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.