ISABELLE LORANE WILSON PA-C
NPI 1962116624
Physician Assistant in Lakeland, FL

Q: What is Isabelle Wilson's NPI number?

The NPI number for Isabelle Wilson is 1962116624. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Isabelle Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Isabelle Wilson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment

1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 3, 2025, Dec 5, 2024, Jan 9, 2023 (3 updates tracked since 2023).

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About Isabelle Lorane Wilson Pa-c NPPES

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

ISABELLE LORANE WILSON PA-C (NPI 1962116624) is an individual physician assistant in Lakeland, Florida, licensed in Florida (9119390) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962116624

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameISABELLE LORANE WILSONCredential: PA-C

Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543

Mailing Address3200 S University DrDavie, FL 33328-2018 · (954) 262-1250

Phone(863) 687-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 9, 2023

Last NPPES UpdateJune 3, 20253 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1962116624 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 FL · 9119390

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.

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Isabelle Lorane Wilson Pa-c 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 ID3577092345

PECOS Enrollment IDI20250123000811

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.

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 20

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

CHRISTIAN ABREU-RAMIREZ MD

Internal Medicine (Pulmonary Disease)