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MICHAEL WILSON PA
NPI 1760163679
Physician Assistant in Boise, ID

Active since July 25, 2023PECOS EnrolledAccepts Medicare Assignment
8854 W EMERALD ST, BOISE, ID 83704(208) 321-4790 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Aug 14, 2025, Jul 25, 2023 (3 updates tracked since 2023).

About Michael Wilson Pa NPPES

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

MICHAEL WILSON PA (NPI 1760163679) is an individual physician assistant in Boise, Idaho and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760163679
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL WILSONCredential: PA
Location Address8854 W EMERALD STBoise, ID 83704-4844
Mailing Address8854 W Emerald StBoise, ID 83704-4844 · (208) 321-4790
Phone(208) 321-4790
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 25, 2023
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1760163679 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.
8854 W EMERALD ST, Boise, ID 83704
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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

Michael Wilson Pa 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 ID5092296806
PECOS Enrollment IDI20260219003122
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 83704 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 13

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

DR. JEFFREY GLENN HESSING M.D.
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Ada County (208) 327-4790
TROY B WATKINS JR. M.D.
Orthopaedic Surgery
8854 W EMERALD ST, # 170
BOISE, ID 83704
Ada County (208) 343-2555
DR. TIMOTHY EUGENE DOERR M.D.
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Ada County (208) 321-4790
A GEORGE MUNAYIRJI MD
Surgery
8854 W EMERALD ST
BOISE, ID 83704
Ada County (208) 658-1774
PHYSICAL THERAPY CENTERS OF IDAHO
Clinic/Center (Physical Therapy)
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Ada County (208) 377-5005
KELLY JO VINCENT PA-C
Physician Assistant
8854 W EMERALD ST, SUITE #102
BOISE, ID 83704
Ada County (208) 323-4747
IDAHO CRH SURGEONS PC
Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Ada County (208) 658-1774
MRS. KATHRYN A COLSON PA-C
Physician Assistant (Medical)
8854 W EMERALD ST, STE 102
BOISE, ID 83704
Ada County (208) 323-4747

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1760163679. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Michael Wilson located?

Michael Wilson practices at 8854 W Emerald St, Boise, ID 83704. The listed phone number is (208) 321-4790.

What is Michael Wilson's specialty?

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

Is Michael Wilson enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.