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

Kyle Alan Wilson, PA

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1265136964

Kyle Alan Wilson, PA is a Physician Assistant in Charlottesville, Virginia. Qualified in 2022, 4 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2280 Ivy Rd Ste 1304
Charlottesville, VA 22903-4977
Phone: (434) 243-5432
Fax: (434) 244-4454
Show map & directions

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

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-4977 — (434) 924-0211

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009166 (VA)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence 0110009166 (VA)

Record details

NPI number1265136964
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing addressPo Box 9007, Charlottesville, VA 22906-9007

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 University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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