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

Mrs. Amanda Jean Wilson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1467976084

Mrs. Amanda Jean Wilson, PHYSICIANASSISTANT is a Physician Assistant in Springfield, Massachusetts. Qualified in 2017, 9 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

759 Chestnut St Ste C3350
Springfield, MA 01107-1619
Phone: (413) 794-6297
Fax: (413) 794-1767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9044 (MA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467976084
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Baystate Medical Practices Inc — 1346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield