JARON WILSON
NPI 1043057458
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since July 12, 2024PECOS Enrolled
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 81731(505) 272-2231 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Jul 13, 2024 (2 updates tracked since 2024).

About Jaron Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARON WILSON (NPI 1043057458) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1043057458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARON WILSON
Location AddressMSC10 5600, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 81731-0001
Mailing Address4621 W Purdue AveGlendale, AZ 85302 · (916) 402-4046
Sole ProprietorNo
Enumeration DateJuly 12, 2024
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1043057458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.

Secondary Practice Location 1

Location 119555 N 59th AveGlendale, AZ 85308-6813 · Phone (623) 572-3200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jaron Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 81731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaron Wilson's NPI number?

The NPI number for Jaron Wilson is 1043057458. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Jaron Wilson located?

Jaron Wilson practices at Msc10 5600 1 University Of New Mexico, Albuquerque, NM 81731. The listed phone number is (505) 272-2231.

What is Jaron Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaron Wilson enrolled in Medicare?

Yes. Jaron Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaron Wilson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.