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ANGELA JEANINE WILSON PA
NPI 1912594904
Physician Assistant in Walnut Creek, CA

Active since December 24, 2020PECOS Enrolled
2123 YGNACIO VALLEY RD STE K200, WALNUT CREEK, CA 94598(925) 926-0195 Get Directions Write a Review

NPPES record last updated: February 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2021, Dec 24, 2020 (2 updates tracked since 2020).

About Angela Jeanine Wilson Pa NPPES

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

ANGELA JEANINE WILSON PA (NPI 1912594904) is an individual physician assistant in Walnut Creek, California, licensed in California (58950) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912594904
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANGELA JEANINE WILSONCredential: PA
Location Address2123 YGNACIO VALLEY RD STE K200Walnut Creek, CA 94598-3336
Mailing Address2123 Ygnacio Valley Rd Ste K200Walnut Creek, CA 94598-3336 · (925) 926-0195
Phone(925) 926-0195
Sole ProprietorYes
Enumeration DateDecember 24, 2020
Last NPPES UpdateFebruary 20, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2021
✔ NPI 1912594904 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 · 58950
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.
2123 YGNACIO VALLEY RD STE K200, Walnut Creek, CA 94598
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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)

Angela Jeanine Wilson Pa 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 94598 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

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

MRS. HAESOOK KIM NP
Nurse Practitioner
2123 YGNACIO VALLEY RD STE K200
WALNUT CREEK, CA 94598
Contra Costa County (925) 926-0195

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 Angela Wilson's NPI number?

The NPI number for Angela Wilson is 1912594904. It was assigned to this individual provider in the NPPES registry on December 24, 2020.

Where is Angela Wilson located?

Angela Wilson practices at 2123 Ygnacio Valley Rd Ste K200, Walnut Creek, CA 94598. The listed phone number is (925) 926-0195.

What is Angela Wilson's specialty?

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

Is Angela Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Angela Wilson was last updated on February 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.