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MS. OLIVIA JANE WILSON PA-C
NPI 1962362020
Physician Assistant in La Jolla, CA

Active since November 12, 2025PECOS Enrolled
4150 REGENTS PARK ROW STE 230, LA JOLLA, CA 92037(858) 207-3117(858) 240-4029 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Nov 12, 2025 (2 updates tracked since 2025).

About Ms. Olivia Jane Wilson Pa-c NPPES

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

MS. OLIVIA JANE WILSON PA-C (NPI 1962362020) is an individual physician assistant in La Jolla, California, licensed in California (PA67272) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962362020
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. OLIVIA JANE WILSONCredential: PA-C
Location Address4150 REGENTS PARK ROW STE 230La Jolla, CA 92037-1414
Mailing Address958 B AveCoronado, CA 92118-2606
Phone(858) 207-3117
Fax(858) 240-4029
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 12, 2025
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1962362020 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 · PA67272
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.
4150 REGENTS PARK ROW STE 230, La Jolla, CA 92037
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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)

Ms. Olivia Jane Wilson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587157193
PECOS Enrollment IDI20251202003923
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 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

EMILY SANFORD
Physician Assistant
4150 REGENTS PARK ROW STE 230
LA JOLLA, CA 92037
San Diego County (858) 207-3117

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 Olivia Wilson's NPI number?

The NPI number for Olivia Wilson is 1962362020. It was assigned to this individual provider in the NPPES registry on November 12, 2025.

Where is Olivia Wilson located?

Olivia Wilson practices at 4150 Regents Park Row Ste 230, La Jolla, CA 92037. The listed phone number is (858) 207-3117.

What is Olivia Wilson's specialty?

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

Is Olivia Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Olivia Wilson was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.