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Deactivated NPI 1558098558 Deactivated / Inactive NPI Female Practitioner

Bailey Wilson , PA-C

Physician Assistant - Medical • Vineyard, UT

✓ Accepts Medicare Assignment
⚠️

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, Bailey Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2022
NPI Deactivation Date August 02, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Bailey Wilson, PA-C was a registered Physician Assistant - Medical practicing in Vineyard, UT. Throughout an active medical career spanning 1 years, Bailey Wilson provided care at the practice location at 534 E 300 N UNIT 311 until profile deactivation on 2022-08-02.

Bailey Wilson maintained professional affiliations with Foothill Clinic Llc, Bozeman Health Deaconess Hospital and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, manual urinalysis test with examination using microscope, automated, blood test, comprehensive group of blood chemicals. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

534 E 300 N Unit 311

Vineyard, UT 840593510

Telephone 2068190538

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Vineyard, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs Matches City Avg
City Avg: 4.0 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Vineyard, UT (381 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (4 Years) 4 Yrs
Vineyard Specialty Average (4.0 Years) 4.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36 24 $165.00 $103.53
99213 Established patient office or other outpatient visit, typically 15 minutes
35 28 $121.57 $68.36
81001 Manual urinalysis test with examination using microscope, automated
18 15 $17.00 $3.11
80053 Blood test, comprehensive group of blood chemicals
17 14 $48.00 $10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
16 14 $25.00 $7.13

Medical Specialties & State Licenses

CMS Verified: 2026-06-25
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Bozeman Health Deaconess Hospital

925 Highland Blvd, Bozeman, MT 597156905

Phone: 4064143780

Bozeman Health Deaconess Hospital

875 S Cottonwood Rd, Bozeman, MT 597184221

Foothill Clinic Llc

6360 S 3000, Salt Lake City, UT 841216924

Phone: 8013651032

Bozeman Health Deaconess Hospital

935 Highland Blvd, Bozeman, MT 597156915

Phone: 4064145700

Career & Practice History Timeline

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

6 Historical Events
📍
Updated Practice Location September 16, 2022

Registered at 534 E 300 N UNIT 311, VINEYARD, UT 840593510 (Tel: 2068190538)

📍
Updated Business Mailing Address September 16, 2022

Registered at 534 E 300 N UNIT 311, VINEYARD, UT 840593510 (Tel: 2068190538)

👤
Provider Name / Credentials Updated September 16, 2022

Recorded as BAILEY WILSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2022

Physician Assistant

⚠️
NPI Profile Deactivated August 02, 2022

Record deactivated on August 02, 2022

🟢
Initial NPI Registration & Enumeration August 01, 2022

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: 1558098558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2022
Last Update: June 25, 2026
Deactivation Date: August 02, 2022
Sole Proprietor: No

Mailing Address

534 E 300 N Unit 311

Vineyard, UT 840593510

Phone: 2068190538

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.