Kevin Wilson, PA-C
NPI 1063424984 · Medical Physician Assistant · Belleville, IL
Kevin Wilson, PA-C is a Medical Physician Assistant provider in Belleville, IL (NPI 1063424984).
Provider details
- NPI number
- 1063424984
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085-000488 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2016-03-21
Frequently asked questions
- What is Kevin Wilson's NPI number?
- Kevin Wilson's National Provider Identifier (NPI) is 1063424984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Wilson's specialty?
- Kevin Wilson is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Wilson located?
- Kevin Wilson's practice location on file with NPPES is 130 Lincoln Place Ct, Belleville, IL 62221-5884.
- What is Kevin Wilson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Wilson is (618) 257-2029.
- Is Kevin Wilson's NPI active?
- Yes — Kevin Wilson's NPI (1063424984) is active in the NPPES registry as of the last update on 2016-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.