Individual provider

Shaun Marie Wilson, PAC

Student in an Organized Health Care Education/Training Program Medicare enrolled

Shaun Marie Wilson, PAC is a provider specialising in Student in an Organized Health Care Education/Training Program in Brooklyn, NY, registered under NPI 1902140593.

Getting there

The practice address on file is 450 CLARKSON AVE, Brooklyn, NY 11203. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

450 CLARKSON AVE, Brooklyn, NY 11203 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Physician Assistant
PAC ID
8729205257
Enrollment ID
I20140807000357

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1902140593 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 20, 2012
Last updatedJul 2, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialPAC
Practice address 450 CLARKSON AVE
Brooklyn, NY 11203
(718) 270-1000
Mailing address 1361 E 56TH ST APT 2
Brooklyn, NY 11234
This record was updated on Jul 2, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1902140593 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 0 2 1 4 0 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 0 2 2 4 0 5 9

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1902140593?
NPI 1902140593 is the National Provider Identifier assigned to Shaun Marie Wilson, PAC in Brooklyn, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Shaun Marie Wilson, PAC?
The phone number on file with NPPES is (718) 270-1000, last updated Jul 2, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shaun Marie Wilson, PAC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1902140593 a valid number?
Yes. 1902140593 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.