Active NPI 1467682435 Individual Practitioner Female Practitioner

Sandra Elizabeth Wilson , PA

Physician Assistant - Medical • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Sandra Wilson, PA is a registered healthcare professional specializing in Physician Assistant - Medical in Crestview, FL. Practice services are available at 350 REDSTONE AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 Redstone Ave W

Crestview, FL 325366433

Telephone 8506891740

Fax 8506826652

Associated Practice Facility / Clinic

🏢 Emerald Coast Dermatology & Skin Surgery Center P A Facility NPI 1386639912

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Crestview, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.0 Yrs

State Avg: 15.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Crestview, FL (2836 Statewide)

Telehealth Adoption Rate

0.0% 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 - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Practice Associates & Co-Workers

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

6 Associated Practitioners

Ashley Wagner , PA

Physician Assistant - Medical

NPI 1205078706

Physician Assistant

Heather Bien , PA

Physician Assistant

NPI 1225269038

Physician Assistant

Dr. Danielle Cady , DNP, ACNP-BC, APRN

Nurse Practitioner

NPI 1265686034

Doctor of Nursing Practice, ACNPBC, Advanced Practice Registered Nurse

Liza Hooks , APRN

Nurse Practitioner

NPI 1396201190

Advanced Practice Registered Nurse

Dr. Charles Trapp , MD

Dermatology

NPI 1518953686

Doctor of Medicine (M.D.)

Dr. Kara Reardon , MD

Dermatology

NPI 1972950285

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 23, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2009

Registered at 350 REDSTONE AVE W, CRESTVIEW, FL 325366433 (Tel: 8506891740)

📍

Updated Business Mailing Address July 23, 2009

Registered at 350 WEST REDSTONE AVE, CRESTVIEW, FL 325360000 (Tel: 8506891740)

👤

Provider Name / Credentials Updated July 23, 2009

Recorded as SANDRA WILSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2009

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 23, 2009

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: 1467682435

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 23, 2009

Last Update: July 23, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

350 West Redstone Ave

Crestview, FL 325360000

Phone: 8506891740

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.