Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1720013444 Deactivated / Inactive NPI Female Practitioner

Emily Wilson , PHYSICIAN ASSISTANT

Physician Assistant • Greeley, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Emily Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2006
NPI Deactivation Date January 24, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Emily Wilson, PHYSICIAN ASSISTANT was a registered Physician Assistant practicing in Greeley, CO. Throughout an active medical career spanning 11 years, Emily Wilson provided care at the practice location at 1800 15TH STREET until profile deactivation on 2017-01-24.

Practice Location & Contact Primary Location

Practice Address

1800 15th Street
#320

Greeley, CO 806315199

Telephone 9703506953
Fax 9703506965
Associated Practice Facility / Clinic
🏢 Ncmc Specialty Clinic Facility NPI 1023319464

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Greeley, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
80 Specialists

Practicing in Greeley, CO (3810 Statewide)

Telehealth Adoption Rate
15.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 101480

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Anne Lease , ARNP

Nurse Practitioner - Family

NPI 1205821162

Advanced Registered Nurse Practitioner

Ruth Jensen , FNP-C

Nurse Practitioner - Family

NPI 1497871198

Family Nurse Practitioner (Certified)

Lynsey Mahlum , ARNP

Nurse Practitioner - Adult Health

NPI 1528362340

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 24, 2017

Record deactivated on January 24, 2017

NPI Profile Active March 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2012

Registered at 1800 15TH STREET, #320, GREELEY, CO 806315199 (Tel: 9703506953)

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Updated Business Mailing Address March 19, 2012

Registered at 1800 15TH STREET, #320, GREELEY, CO 806315199 (Tel: 9703506953)

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Provider Name / Credentials Updated March 19, 2012

Recorded as EMILY WILSON, PHYSICIAN ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2012

Physician Assistant (License #101480 in NC)

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Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720013444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: March 19, 2012
Deactivation Date: January 24, 2017

Mailing Address

1800 15th Street, #320

Greeley, CO 806315199

Phone: 9703506953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.