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DAKOTA WILSON PA-C
NPI 1992435234
Physician Assistant in Pocatello, ID

Active since June 10, 2022PECOS EnrolledAccepts Medicare Assignment
1950 E CLARK ST, POCATELLO, ID 83201(208) 232-7246 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2022, Jun 10, 2022 (2 updates tracked since 2022).

About Dakota Wilson Pa-c NPPES

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

DAKOTA WILSON PA-C (NPI 1992435234) is an individual physician assistant in Pocatello, Idaho, licensed in Idaho (PA-2347) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1992435234
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAKOTA WILSONCredential: PA-C
Location Address1950 E CLARK STPocatello, ID 83201-3314
Mailing Address1950 E Clark StPocatello, ID 83201-3314 · (208) 232-7246
Phone(208) 232-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 10, 2022
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1992435234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-2347
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1950 E CLARK ST, Pocatello, ID 83201
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Secondary Practice Location 1

Location 1921 S 8th Ave Stop 8253Pocatello, ID 83209-0002 · Phone (208) 282-4726

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health, University of Utah Health Plans.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

Dakota 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 ID3779954862
PECOS Enrollment IDI20230127002471
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
738 services156 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
36 services15 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
24 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services17 patients
Injection, lidocaine hcl for intravenous infusion, 10 mg J2001
Lidocaine HCL is a medication used to decrease pain or discomfort. In this procedure, it's given through an IV infusion, which means it's slowly injected into your vein. It's often used during minor surgeries or procedures to help keep you comfortable.
22 services12 patients

Hospital Affiliations CMS Care Compare

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 8

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

MRS. CHERYL E RODNICK OTR L, CHT
Occupational Therapist (Hand)
1950 E CLARK ST, STF
POCATELLO, ID 83201
Bannock County (208) 232-2915
KAREN DONCOUSE CRNA
Nurse Anesthetist, Certified Registered
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201
Bannock County (208) 232-7760
MICHAEL J. GREGSON, M.D., P.A.
Specialist
1950 E CLARK ST, SUITE C
POCATELLO, ID 83201
Bannock County (208) 232-8300
DR. STEVE M SKOUMAL MD
Pathology (Anatomic Pathology & Clinical Pathology)
1950 E CLARK ST, SUITE D
POCATELLO, ID 83201
Bannock County (208) 233-3794
SHIRLEY YELLOWHAIR CST
1950 E CLARK ST, STE A
POCATELLO, ID 83201
Bannock County (208) 232-5550
DALE T KNIEVEL CRNA
Nurse Anesthetist, Certified Registered
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201
Bannock County (208) 232-7760
GARY R JOHANSON CRNA
Nurse Anesthetist, Certified Registered
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201
Bannock County (208) 232-7760
CASSIDY B WATERMAN CRNA
Nurse Anesthetist, Certified Registered
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201
Bannock County (208) 232-7760

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 Dakota Wilson's NPI number?

The NPI number for Dakota Wilson is 1992435234. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Dakota Wilson located?

Dakota Wilson practices at 1950 E Clark St, Pocatello, ID 83201. The listed phone number is (208) 232-7246.

What is Dakota Wilson's specialty?

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

Is Dakota Wilson enrolled in Medicare?

Yes. Dakota 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.

What insurance does Dakota Wilson accept?

Health plans from Moda Health Plan, Inc., Select Health and University of Utah Health Plans list Dakota 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.

Is Dakota Wilson affiliated with any hospitals?

According to CMS data, Dakota Wilson is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Dakota Wilson was last updated on September 26, 2022. 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.