MRS. CARMEN ANN WILSON PA
NPI 1780715896
Physician Assistant in Saint Louis, MO

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL, SAINT LOUIS, MO 63108(314) 454-8304(314) 454-5902 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2015).

About Mrs. Carmen Ann Wilson Pa NPPES

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

MRS. CARMEN ANN WILSON PA (NPI 1780715896) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2000145768) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1780715896
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CARMEN ANN WILSONCredential: PA
Location Address4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FLSaint Louis, MO 63108-2114
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-8304 · Fax (314) 454-5902
Fax(314) 454-5902
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 8, 2007
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
NPI 1780715896 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 MO · 2000145768
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.

4500 FOREST PARK AVE, Saint Louis, MO 63108

Other Identifiers 1

Medicaid220024269MO

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

Mrs. Carmen Ann 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 ID648287979
PECOS Enrollment IDI20070719000453
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 3

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.

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.
190 services107 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.
87 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Pharmacy (Community/Retail Pharmacy)
4500 FOREST PARK AVE
SAINT LOUIS, MO 63108
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 8TH FL
SAINT LOUIS, MO 63108

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 Carmen Wilson's NPI number?

The NPI number for Carmen Wilson is 1780715896. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Carmen Wilson located?

Carmen Wilson practices at 4500 Forest Park Ave Div Im Bone Marrow Transplant, 5th, 6th, 8th Fl, Saint Louis, MO 63108. The listed phone number is (314) 454-8304.

What is Carmen Wilson's specialty?

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

Is Carmen Wilson enrolled in Medicare?

Yes. Carmen 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 Carmen Wilson accept?

Health plans from Cox HealthPlans list Carmen 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 Carmen Wilson affiliated with any hospitals?

According to CMS data, Carmen Wilson is affiliated with Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Wilson was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.