ALISHA CORA TARTER WILSON PA-C
NPI 1760629943
Physician Assistant - Surgical in Somerset, KY

Active since January 09, 2009PECOS EnrolledAccepts Medicare Assignment
45.03/100
CMS Quality Rating
30 MEDPARK SQUARE, SUITE 1, SOMERSET, KY 42503(606) 451-0485(606) 451-0229 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alisha Cora Tarter Wilson Pa-c NPPES

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

ALISHA CORA TARTER WILSON PA-C (NPI 1760629943) is an individual surgical provider in Somerset, Kentucky, licensed in Kentucky (PA1163) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of University Of Kentucky College Of Medicine (2008).

NPPES Registry Identity

NPI1760629943
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALISHA CORA TARTER WILSONCredential: PA-C
Location Address30 MEDPARK SQUARE, SUITE 1Somerset, KY 42503-3812
Mailing AddressPo Box 719Somerset, KY 42502-0719 · (606) 451-0485 · Fax (606) 451-0229
Fax(606) 451-0229
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2008
Enumeration DateJanuary 9, 2009
Last NPPES UpdateJanuary 28, 2016
NPI 1760629943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in KY · PA1163
30 MEDPARK SQUARE, Somerset, KY 42503

Other Names 1

Former Name (1)Alisha Cora Tarter

Other Identifiers 1

OtherPA1163KY · Ky License

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

Alisha Cora Tarter Wilson Pa-c 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 ID2860543469
PECOS Enrollment IDI20090622000297
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
529 services357 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
336 services233 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
139 services139 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
127 services115 patients
Injection, amikacin sulfate, 100 mg J0278
Amikacin sulfate is an antibiotic injection used to treat serious bacterial infections. It works by stopping the growth of bacteria. The 100mg dosage is administered by a healthcare professional, usually into a muscle or vein.
117 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services73 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

45.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality30.6
Improvement Activities40
Cost27.35

Other Providers at the Same Location NPPES 3

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

Urology
30 MEDPARK SQUARE, SUITE 1
SOMERSET, KY 42503
Physician Assistant
30 MEDPARK SQUARE, SUITE 1
SOMERSET, KY 42503
Urology
30 MEDPARK SQUARE, SUITE 1
SOMERSET, KY 42503

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 Alisha Tarter Wilson's NPI number?

The NPI number for Alisha Tarter Wilson is 1760629943. It was assigned to this individual provider in the NPPES registry on January 9, 2009. The provider is also known as Alisha Cora Tarter.

Where is Alisha Tarter Wilson located?

Alisha Tarter Wilson practices at 30 Medpark Square Suite 1, Somerset, KY 42503. The listed phone number is (606) 451-0485.

What is Alisha Tarter Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alisha Tarter Wilson enrolled in Medicare?

Yes. Alisha Tarter 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.

Is Alisha Tarter Wilson affiliated with any hospitals?

According to CMS data, Alisha Tarter Wilson is affiliated with Saint Joseph London, Baptist Health Corbin, Lake Cumberland Regional Hospital, Wayne County Hospital and Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Alisha Tarter Wilson was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.