HOLLY WILSON PHYSICIAN ASSISTANT
NPI 1962707182
Physician Assistant - Surgical in Columbia, MO
About Holly Wilson Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY WILSON PHYSICIAN ASSISTANT (NPI 1962707182) is an individual surgical provider in Columbia, Missouri, licensed in Virginia (0110002870) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Wilson Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
COLUMBIA, MO 65201
COLUMBIA, MO 65201
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 Holly Wilson's NPI number?
The NPI number for Holly Wilson is 1962707182. It was assigned to this individual provider in the NPPES registry on January 19, 2011.
Where is Holly Wilson located?
Holly Wilson practices at 800 Hospital Dr, Columbia, MO 65201. The listed phone number is (573) 814-6000.
What is Holly Wilson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Holly Wilson enrolled in Medicare?
Yes. Holly Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Holly Wilson was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Holly Wilson, PHYSICIAN ASSISTANT · NPI 1962707182
Surgical physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since January 19, 2011.
## Identity
- **NPI:** 1962707182 (Entity type: Individual)
- **Enumerated:** January 19, 2011
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 0110002870 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 HOSPITAL DR, Columbia, MO 65201-5275
- **Phone:** (573) 814-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 19, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1962707182) · Data from the CMS NPPES public registry.