1. Home
  2. Directory
  3. Louisiana
  4. Livingston
  5. Physician Assistant
  6. NPI Profile

ALONZO WILDER PAC
NPI 1881635878
Physician Assistant in Livingston, LA

Active since June 09, 2006PECOS Enrolled
13960 FLORIDA BLVD, LIVINGSTON, LA 70754(225) 686-0158 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alonzo Wilder Pac NPPES

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

ALONZO WILDER PAC (NPI 1881635878) is an individual physician assistant in Livingston, Louisiana, licensed in Louisiana (A10241) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881635878
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALONZO WILDERCredential: PAC
Location Address13960 FLORIDA BLVDLivingston, LA 70754
Mailing AddressPo Box 261166Baton Rouge, LA 70826-1166
Phone(225) 686-0158
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJanuary 27, 2009
✔ NPI 1881635878 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 LA · A10241
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.
13960 FLORIDA BLVD, Livingston, LA 70754
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINS51396LA
Medicaid1626716LA
Medicare PIN5L065P167LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alonzo Wilder Pac 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 70754 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 2

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
13960 FLORIDA BLVD
LIVINGSTON, LA 70754
Livingston Parish (225) 686-0158
DR. JONATHAN HICKSON M.D
Family Medicine
13960 FLORIDA BLVD
LIVINGSTON, LA 70754
Livingston Parish (225) 686-0158

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 Alonzo Wilder's NPI number?

The NPI number for Alonzo Wilder is 1881635878. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Alonzo Wilder located?

Alonzo Wilder practices at 13960 Florida Blvd, Livingston, LA 70754. The listed phone number is (225) 686-0158.

What is Alonzo Wilder's specialty?

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

Is Alonzo Wilder enrolled in Medicare?

Yes. Alonzo Wilder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alonzo Wilder was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.