Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlin Marie Wilson, PA-C

Individual provider Physician Assistant · NPI 1871226761

Kaitlin Marie Wilson, PA-C is a Physician Assistant in Wilmington, North Carolina. Qualified in 2022, 4 years ago. Practices with Summit Plastic Surgery and Dermatology, PLLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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

1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019
Phone: (910) 794-5355
Fax: (910) 794-5358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4748 Oyster Reef Run, Wilmington, NC 28405-6306 — (336) 671-0483

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12462 (NC)

Record details

NPI number1871226761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Summit Plastic Surgery And Dermatology, Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wilmington