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

Mrs. Katherine Ann Wilson, PA-C

Individual provider Physician Assistant · NPI 1235353988

Mrs. Katherine Ann Wilson, PA-C is a Physician Assistant in St Johns, Florida. Qualified in 2007, 19 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
19
Licensed in
FL, GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

30 Ardisia Ln
St Johns, FL 32259
Phone: (904) 287-2794
Fax: (904) 390-7458
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 559 W Twincourt Trl Unit 601, St Augustine, FL 32095-8805 — (904) 940-1441

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104552 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 005035 (GA)

Record details

NPI number1235353988
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Johns