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

Lacee Wilkinson, PA-C

Individual provider Surgical Physician Assistant · NPI 1164709630

Lacee Wilkinson, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2011, 15 years ago. Practices with Utah Surgical Associates Inc, a 50-clinician group and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
15
Licensed in
CA, UT
In the registry since
2011
Specialties on file
3
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

3550 N University Ave Ste 250
Provo, UT 84604
Phone: (801) 374-9625
Fax: (801) 374-9690
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 8139778-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA52245 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA52245 (CA)

Record details

NPI number1164709630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 10, 2011
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Utah Surgical Associates Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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