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

Individual provider Physician Assistant · NPI 1972903839

Kathryn Regina Wilson, PA-C is a Physician Assistant in Edina, Minnesota. Qualified in 2014, 12 years ago. Practices with Ridgeview Medical Center, a 406-clinician group and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
12
Licensed in
IN, MN
In the registry since
2014
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

4010 W 65th St
Edina, MN 55435-1706
Phone: (952) 456-7000
Fax: (952) 456-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12465 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 10001749A (IN)

Record details

NPI number1972903839
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ridgeview Medical Center — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Edina