JOANNE WILSON DC
NPI 1043104094
Chiropractor in San Ramon, CA
About Joanne Wilson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNE WILSON DC (NPI 1043104094) is an individual chiropractor in San Ramon, California, licensed in California (DC24666) and active in the NPI registry since June 2025.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joanne Wilson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joanne Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAMON, CA 94583
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 Joanne Wilson's NPI number?
The NPI number for Joanne Wilson is 1043104094. It was assigned to this individual provider in the NPPES registry on June 4, 2025.
Where is Joanne Wilson located?
Joanne Wilson practices at 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583. The listed phone number is (480) 322-1545.
What is Joanne Wilson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Joanne Wilson enrolled in Medicare?
Yes. Joanne Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joanne Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanne Wilson reassigns Medicare benefits to (San Ramon, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joanne Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joanne Wilson was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Joanne Wilson, DC · NPI 1043104094
Chiropractor provider in San Ramon, California. Individual provider, active in the CMS NPPES registry since June 4, 2025.
## Identity
- **NPI:** 1043104094 (Entity type: Individual)
- **Enumerated:** June 4, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC24666 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2551 SAN RAMON VALLEY BLVD STE 108, San Ramon, CA 94583-1661
- **Phone:** (480) 322-1545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** (NPI 1851507024, San Ramon, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043104094) · Data from the CMS NPPES public registry.