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KEITH ALAN WILSON P.A.
NPI 1841470507
Physician Assistant in Victorville, CA

Active since November 11, 2007PECOS Enrolled
12550 HESPERIA ROAD, SUITE100, VICTORVILLE, CA 92395(760) 241-6666(760) 241-7575 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Alan Wilson P.a. NPPES

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

KEITH ALAN WILSON P.A. (NPI 1841470507) is an individual physician assistant in Victorville, California, licensed in California (PA18722) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841470507
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEITH ALAN WILSONCredential: P.A.
Location Address12550 HESPERIA ROAD, SUITE100Victorville, CA 92395-0000
Mailing Address12143 Navajo RdApple Valley, CA 92308-7250 · (760) 240-1144 · Fax (760) 240-9127
Phone(760) 241-6666
Fax(760) 241-7575
Sole ProprietorNo
Enumeration DateNovember 11, 2007
Last NPPES UpdateMarch 27, 2019
✔ NPI 1841470507 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 CA · PA18722
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.

12550 HESPERIA ROAD, Victorville, CA 92395
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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 (PECOS)

Keith Alan Wilson P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 4

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

DIANE LESLIE THOMPSON P.A.
Physician Assistant
12550 HESPERIA ROAD, SUITE 100
VICTORVILLE, CA 92395
San Bernardino County (760) 241-6666
TERESA ALLYN PODGORSKI P.A.
Family Medicine
12550 HESPERIA ROAD, SUITE 100
VICTORVILLE, CA 92395
San Bernardino County (760) 241-6666
MR. HARRISON SHERMAN KUYKENDALL III P.A.-C
Physician Assistant
12550 HESPERIA ROAD, SUITE 100
VICTORVILLE, CA 92395
San Bernardino County (760) 241-6666
MADELEINE ONG-VELOSO N.P.
Nurse Practitioner (Family)
12550 HESPERIA ROAD, SUITE 100
VICTORVILLE, CA 92395
San Bernardino County (760) 241-6666

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 Keith Wilson's NPI number?

The NPI number for Keith Wilson is 1841470507. It was assigned to this individual provider in the NPPES registry on November 11, 2007.

Where is Keith Wilson located?

Keith Wilson practices at 12550 Hesperia Road Suite100, Victorville, CA 92395. The listed phone number is (760) 241-6666.

What is Keith Wilson's specialty?

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

Is Keith Wilson enrolled in Medicare?

Yes. Keith Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Wilson was last updated on March 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.