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Deactivated NPI 1073609442 Deactivated / Inactive NPI Male Practitioner

Terry L Wilson , PA-C

Physician Assistant • Centralia, WA

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

Registration / Start Date October 05, 2006
NPI Deactivation Date January 08, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Terry Wilson, PA-C was a registered Physician Assistant practicing in Centralia, WA. Throughout an active medical career spanning 20 years, Terry Wilson provided care at the practice location at 1707 COOKS HILL RD until profile deactivation on 2026-01-08.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1707 Cooks Hill Rd

Centralia, WA 98531

Telephone 3607361965
Fax 3607404170
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Centralia, WA (3774 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
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
25 13 $241.00 $63.91

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10000075

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

10 Associated Practitioners
Erin Chase , ARNP

Nurse Practitioner - Family

NPI 1134238744

Advanced Registered Nurse Practitioner

James Williams , LMHC

Counselor - Mental Health

NPI 1174673156

Licensed Mental Health Counselor

NPI 1275576621

Doctor of Medicine (M.D.)

Robin Rice , PA-C

Physician Assistant

NPI 1316032030

Physician Assistant (Certified)

Eric Owen , PA-C

Physician Assistant

NPI 1700995313

Physician Assistant (Certified)

Kaitlin Bock , ARNP

Nurse Practitioner - Family

NPI 1720248701

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

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Updated Practice Location July 05, 2023

Registered at 1299 BISHOP RD, CHEHALIS, WA 985328758 (Tel: 3607480211)

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Updated Business Mailing Address July 05, 2023

Registered at 1299 BISHOP RD, CHEHALIS, WA 985328758 (Tel: 3607480211)

NPI Profile Active December 21, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 21, 2007

Registered at 1707 COOKS HILL RD, CENTRALIA, WA 98531 (Tel: 3607361965)

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Updated Business Mailing Address December 21, 2007

Registered at P O BOX 1267, CHEHALIS, WA 98532 (Tel: 3607361965)

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Provider Name / Credentials Updated December 21, 2007

Recorded as TERRY WILSON, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2007

Physician Assistant (License #PA10000075 in WA)

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Initial NPI Registration & Enumeration October 05, 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: 1073609442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: December 21, 2007
Deactivation Date: January 08, 2026

Mailing Address

P O Box 1267

Chehalis, WA 98532

Phone: 3607361965

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.