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

Individual provider Physician Assistant · NPI 1578104824

Kristopher Dillon Wilson, MMS, PA-C is a Physician Assistant in Sarasota, Florida. Qualified in 2019, 7 years ago. Practices with Smh Physician Services Inc, a 774-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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

1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone: (941) 917-7494
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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 9112569 (FL)

Record details

NPI number1578104824
Entity typeIndividual (Type 1)
GenderMale
Credentials MMS , PA-C
Sole proprietorYes
NPI enumeratedOctober 7, 2019
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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