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Active NPI 1659511533 Individual Practitioner Female Practitioner

Annette L Wilson , PA-C

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Annette Wilson, PA-C is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 19 years of clinical experience since completing medical education in 2007, Annette Wilson delivers high-quality medical care to the local community at 841 PRUDENTIAL DR FL 10.

Annette Wilson is affiliated with St Vincent'S Ambulatory Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

841 Prudential Dr Fl 10

Jacksonville, FL 322078329

Telephone 9043985404
Fax 9043915545
Associated Practice Facility / Clinic
🏢 Baptist Neurology Inc Facility NPI 1982836169

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +7.8 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (19 Years) 19 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
45 41 $209.71 $65.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
31 31 $397.19 $108.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
24 21 $325.00 $98.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
16 14 $607.25 $143.59

Medical Specialties & State Licenses

CMS Verified: 2024-01-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9104317

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
994760364A (GA)
Commercial Insurance / Payer ID Florida License
PA 9104317 (FL)

Hospital & Practice Group Affiliations

St Vincent's Ambulatory Care Inc

1801 Barrs St, Jacksonville, FL 322044738

Phone: 9043082006

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. Kendra Cagniart , MD

Psychiatry & Neurology - Neurology

NPI 1093001109

Doctor of Medicine (M.D.)

Dr. Bryan Riggeal , MD

Ophthalmology - Neuro-ophthalmology

NPI 1104023308

Doctor of Medicine (M.D.)

Dr. Vladislav Korenblit , DO

Psychiatry & Neurology - Neurology

NPI 1134749591

Doctor of Osteopathic Medicine (D.O.)

Christina Howard , APRN

Nurse Practitioner

NPI 1144869611

Advanced Practice Registered Nurse

Dr. Dominika Lozowska , MD

Psychiatry & Neurology - Neurology

NPI 1154552396

Doctor of Medicine (M.D.)

Arena Chaney , NP

Nurse Practitioner

NPI 1215357314

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 18, 2024

Registered at 841 PRUDENTIAL DR FL 10, JACKSONVILLE, FL 322078329 (Tel: 9043985404)

📍
Updated Business Mailing Address January 18, 2024

Registered at PO BOX 746649, ATLANTA, GA 303746649 (Tel: 9043764400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Physician Assistant (License #PA9104317 in FL)

📍
Updated Practice Location April 14, 2020

Registered at 1401 OVEN PARK DR, TALLAHASSEE, FL 323087959 (Tel: 8507658623)

NPI Profile Active September 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2011

Registered at 1401 CENTERVILLE RD, STE 300, TALLAHASSEE, FL 323084675 (Tel: 8508788121)

📍
Updated Business Mailing Address September 01, 2011

Registered at 1401 CENTERVILLE RD, STE 300, TALLAHASSEE, FL 323084675 (Tel: 8508788121)

👤
Provider Name / Credentials Updated September 01, 2011

Recorded as ANNETTE WILSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2011

Physician Assistant (License #9104317 in FL)

🟢
Initial NPI Registration & Enumeration March 04, 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: 1659511533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2009
Last Update: January 18, 2024
Sole Proprietor: No

Mailing Address

Po Box 746649

Atlanta, GA 303746649

Phone: 9043764400

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.