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JENNIFER WILSON DO NPI 1477639219


NPI Information

NPI: 1477639219
Provider Name: JENNIFER WILSON, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
803 HIGHWAY 31 EAST
CHANDLER, TX
ZIP 75758
Phone: (903) 849-5756
Get Directions

Jennifer Wilson, DO is a family medicine in Chandler, TX with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jennifer Wilson, DO NPI is 1477639219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

803 HIGHWAY 31 EAST
CHANDLER, TX
ZIP 75758-373
Phone: (903) 849-5756

The NPI 1477639219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 10/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineM3794TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TXB133061MEDICARE OSCAR/CERTIFICATIONTEXAS
28J3692MEDICARE ID-TYPE UNSPECIFIEDTEXASTC GROUP 00T71U
38CW412OTHERTEXASBCBS
4186968702MEDICAIDTEXAS
575-2616977-007OTHERTEXASTRICARE DOUGLAS
6I71796MEDICARE UPIN
7186968701MEDICAIDTEXAS
8P00385523OTHERTEXASTC GROUP CR1017
975-2616977-041OTHERTEXASTRICARE
10752616977002OTHERTEXASTRICARE
11P00967753OTHERTEXASMEDICARE RR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.