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

Samuel Jerod Wilson, PA-C

Individual provider Physician Assistant · NPI 1548024029

Samuel Jerod Wilson, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2023, 3 years ago. Practices with Lester E Cox Medical Centers, a 335-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
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

1000 E Primrose St
Springfield, MO 65807-5154
Phone: (314) 269-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 501 N Old Wilderness Rd, Nixa, MO 65714-9490 — (417) 269-2227
  • 5100 N Towne Centre Dr, Ozark, MO 65721-7479 — (417) 730-5510
  • 1819 S National Ave, Springfield, MO 65804-2217 — (417) 269-2700
  • 1429 W Sunshine St, Springfield, MO 65807-2346 — (417) 730-5700
  • 3525 E Battlefield St, Springfield, MO 65809-3435 — (417) 269-0065

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024004739 (MO)

Record details

NPI number1548024029
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lester E Cox Medical Centers — 335 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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