Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Wilson, PA-C

Individual provider Physician Assistant · NPI 1386147957

Carl Wilson, PA-C is a Physician Assistant in Scottsdale, Arizona. Qualified in 2017, 9 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Nevada.

Years since qualifying
9
Licensed in
AZ, NV
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 Dennis St Sw, Tumwater, WA 98501-5459 — (360) 754-6367

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11596 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA1960 (NV)

Record details

NPI number1386147957
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2018
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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