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DR. PAUL KENT WILSON DPM
NPI 1912137217
Podiatrist - Foot & Ankle Surgery in Jonesborough, TN

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
110 BERMUDA DR, JONESBOROUGH, TN 37659(515) 537-7592(888) 645-7299 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2023, Jun 19, 2017, Jan 23, 2017 (3 updates tracked since 2017).

About Dr. Paul Kent Wilson Dpm NPPES

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

DR. PAUL KENT WILSON DPM (NPI 1912137217) is an individual foot & ankle surgery provider in Jonesborough, Tennessee, licensed in Tennessee (732) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912137217
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PAUL KENT WILSONCredential: DPM
Location Address110 BERMUDA DRJonesborough, TN 37659-3166
Mailing Address110 Bermuda DrJonesborough, TN 37659-3166 · (515) 537-7592 · Fax (888) 645-7299
Phone(515) 537-7592
Fax(888) 645-7299
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 21, 2009
Last NPPES UpdateJune 9, 20233 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1912137217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TN · 732
110 BERMUDA DR, Jonesborough, TN 37659
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Other Identifiers 2

Other0103301077VA · Virginia Podiatry License
Other732TN · Tenneesee Podiatry License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Kent Wilson Dpm 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 ID4587842810
PECOS Enrollment IDI20231221002794
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Paul Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upperline Healthcare, PC
319 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Tennessee enrollment
  • 537 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Best Foot Forward Corp
451 mi
Podiatrist
1479 US HIGHWAY 61 STE B
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1427614601 (636) 224-8297
Gracemed Health Clinic Inc
823 mi
Federally Qualified Health Center (FQHC)
1122 N TOPEKA ST
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 100 clinicians in this Medicare group
NPI 1184691693 (316) 866-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Paul Wilson's NPI number?

The NPI number for Paul Wilson is 1912137217. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Paul Wilson located?

Paul Wilson practices at 110 Bermuda Dr, Jonesborough, TN 37659. The listed phone number is (515) 537-7592.

What is Paul Wilson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Paul Wilson enrolled in Medicare?

Yes. Paul 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.

Which organizations bill Medicare for Paul Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Wilson reassigns Medicare benefits to 3 organizations: Upperline Healthcare, PC (Hoover, AL), Best Foot Forward Corp (Festus, MO) and Gracemed Health Clinic Inc (Wichita, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Wilson was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.