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

Danielle K Wilson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1982248126

Danielle K Wilson, PHYSICIANASSISTANT is a Physician Assistant in Midlothian, Virginia. Qualified in 2021, 5 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Virginia.

Years since qualifying
5
Licensed in
IN, VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

15564 Westchester Commons Way
Midlothian, VA 23113-7321
Phone: (804) 440-4878
Fax: (804) 423-2451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 — (574) 647-3725

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007882 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 10005132A (IN)

Record details

NPI number1982248126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 31, 2019
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing addressPo Box 715868, Philadelphia, PA 19171-5868

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Midlothian