Ivy Wilson, PA-C
NPI 1346970654 · Physician Assistant · Boise, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Wilson, PA-C is a Physician Assistant provider in Boise, ID (NPI 1346970654).
Provider details
- NPI number
- 1346970654
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 541174 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Technologists, Technicians & Other Technical Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-06-10
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Frequently asked questions
- What is Ivy Wilson's NPI number?
- Ivy Wilson's National Provider Identifier (NPI) is 1346970654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivy Wilson's specialty?
- Ivy Wilson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ivy Wilson located?
- Ivy Wilson's practice location on file with NPPES is 2893 S Cadet Pl, Boise, ID 83706-5133.
- What is Ivy Wilson's phone number?
- The practice phone number listed in the NPPES registry for Ivy Wilson is (208) 313-8213.
- Does Ivy Wilson accept Medicare?
- Ivy Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivy Wilson's NPI active?
- Yes — Ivy Wilson's NPI (1346970654) is active in the NPPES registry as of the last update on 2022-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.