Destonee Wilson, PA-C
NPI 1174041578 · Physician Assistant · Fort Worth, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Destonee Wilson, PA-C is a Physician Assistant provider in Fort Worth, TX (NPI 1174041578).
Provider details
- NPI number
- 1174041578
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 279726-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
30 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 17 | $8 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 13 | $16 |
Typical Medicare-allowed amounts for these services range $8–$16 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 64 | 28 |
| Lisinopril | 51 | 21 |
| Amlodipine Besylate | 47 | 21 |
| Levothyroxine Sodium | 44 | 17 |
| Omeprazole | 43 | 15 |
| Metformin Hcl | 33 | 13 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,325 across 76 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 13953 S Bangerter PkwyDraper, UT 84020-5429Phone: (385) 900-4090Fax: (801) 365-1033
- 2295 S Foothill DrSalt Lake City, UT 84109-4000Phone: (801) 486-3021
- 2295 S Foothill DrSalt Lake City, UT 84109-4000Phone: (801) 486-3021
- 6360 S 3000 E Ste 100Salt Lake City, UT 84121-6924Phone: (801) 365-1032Fax: (801) 365-1036
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2018-11-07
Frequently asked questions
- What is Destonee Wilson's NPI number?
- Destonee Wilson's National Provider Identifier (NPI) is 1174041578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Destonee Wilson's specialty?
- Destonee Wilson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Destonee Wilson located?
- Destonee Wilson's practice location on file with NPPES is 1650 S Beach St, Fort Worth, TX 76105.
- What is Destonee Wilson's phone number?
- The practice phone number listed in the NPPES registry for Destonee Wilson is (817) 702-1100.
- Does Destonee Wilson accept Medicare?
- Destonee Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Destonee Wilson's NPI active?
- Yes — Destonee Wilson's NPI (1174041578) is active in the NPPES registry as of the last update on 2018-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.