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

Grant Wilson, PA-C

Individual provider Physician Assistant · NPI 1558738963

Grant Wilson, PA-C is a Physician Assistant in Fort Dodge, Iowa. Qualified in 2015, 11 years ago. Practices with Trinity Regional Medical Center, a 172-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
11
Licensed in
IA
In the registry since
2015
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

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone: (515) 573-3101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 079688 (IA)

Record details

NPI number1558738963
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 2, 2015
Last updated in NPPESSeptember 2, 2015
Mailing address802 Kenyon Rd, Fort Dodge, IA 50501-5740

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Trinity Regional Medical Center — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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