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

Individual provider Physician Assistant · NPI 1407088206

Matthew Zachary Wilson, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2009, 17 years ago. Practices with Southwest Medical Associates, LLC, a 325-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
17
Licensed in
NM
In the registry since
2009
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

500 Walter St NE Ste 309
Albuquerque, NM 87102-2534
Phone: (505) 727-8039
Fax: (505) 727-8086
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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 PA2009-0014 (NM)

Record details

NPI number1407088206
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 13, 2009
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southwest Medical Associates, Llc — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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