Doctor profile · Federal record
Dr. Katherine Wilson, PA-C
Physician Assistant · Physician Assistant · St. Johns, FL
- NPI 1235353988
- Accepts Medicare
- MIPS 88.8 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
30 Ardisia Lane
St. Johns, FL 32259
(904) 287-2794
fax (904) 390-7458 - Additional location
-
559 W Twincourt Trl Unit 601
St Augustine, FL 320958805
(904) 940-1441
fax (904) 940-1490 - Mailing address
-
Po Box 746638
Atlanta, GA 303746638
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- September 20, 2022
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Florida #PA9104552 · Georgia #005035
- Medicaid
- GA #411072211A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235353988. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
250
Distinct HCPCS
7
Medicare allowed
$20,174
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 62 | 50 | $8 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 59 | 59 | $108 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 48 | 37 | $151 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 44 | 38 | $107 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 | 15 | $12 | |
90662 |
Influenza vaccine split virus, preservative free | 11 | 11 | $72 | |
G0008 |
Administration of influenza virus vaccine | 11 | 11 | $30 |
In context: peer comparison
Among 2 peers in St. Johns Physician Assistant, average services per provider: 28. This provider delivers 8.9× the peer median.Open Payments
Industry payments received
All-time total
$309
Transactions
13
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $67.72 | |
| Novo Nordisk INC | 3 | $54.44 | |
| Lilly USA, LLC | 2 | $40.52 | |
| Exact Sciences Corporation | 1 | $25.82 | |
| Abbvie INC. | 1 | $25.05 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $22.22 | |
| Pfizer INC. | 1 | $20.25 | |
| GlaxoSmithKline, LLC. | 1 | $19.74 | |
| Amgen INC. | 1 | $17.80 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $15.60 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
453
Patients
194
Total drug cost
$7,295
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 72 | 32 | $1,187 |
| Amlodipine Besylate | Generic | 42 | 25 | $371 |
| Lisinopril | Generic | 42 | 23 | $805 |
| Metoprolol Succinate | Generic | 36 | 17 | $931 |
| Losartan Potassium | Generic | 34 | 14 | $655 |
| Gabapentin | Generic | 31 | 14 | $935 |
| Hydrochlorothiazide | Generic | 27 | 14 | $187 |
| Levothyroxine Sodium | Generic | 26 | 15 | $349 |
| Omeprazole | Generic | 25 | 15 | $303 |
| Simvastatin | Generic | 23 | 0 | $287 |
Hospital affiliations
Frequently asked questions
What is Dr. Katherine Wilson's medical specialty?
Dr. Katherine Wilson practices Physician Assistant in St. Johns, FL.
Where does Dr. Katherine Wilson practice?
Dr. Katherine Wilson practices at 30 Ardisia Lane, St. Johns, FL 32259. Office phone: 9042872794.
What is Dr. Katherine Wilson's NPI?
Dr. Katherine Wilson's National Provider Identifier (NPI) is 1235353988, issued by NPPES.
Does Dr. Katherine Wilson accept Medicare assignment?
Yes. Dr. Katherine Wilson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Katherine Wilson commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.