IndividualActive
Carlie Wilkerson, P.A.
NPI 1376748095 · Surgical Physician Assistant · Santa Rosa, CA
Provider details
- NPI number
- 1376748095
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- PA19226 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
990 Sonoma Ave Ste 20
Santa Rosa, CA 95404-4813
Phone: (707) 525-0696
Fax: (707) 525-8404
Street-level locationGet directions
Mailing address
990 Sonoma Ave Ste 20
Santa Rosa, CA 95404-4813
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2021-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.