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

Michael Wilson, PA

Individual provider Physician Assistant · NPI 1760163679

Michael Wilson, PA is a Physician Assistant in Boise, Idaho. Qualified in 2025, 1 year ago. Practices with Capital Surgical Associates PA, a 9-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
1
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8854 W Emerald St
Boise, ID 83704-4844
Phone: (208) 321-4790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760163679
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Capital Surgical Associates Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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