JENNIFER L WILSON
NPI 1043321748
Pediatrics - Adolescent Medicine in Lexington, KY

Active since August 31, 2006PECOS Enrolled
3050 HARRODSBURG RD, STE 100, LEXINGTON, KY 40503(859) 277-6102(859) 977-0237 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer L Wilson NPPES

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

JENNIFER L WILSON (NPI 1043321748) is an individual adolescent medicine provider in Lexington, Kentucky, licensed in Kentucky (41107) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043321748
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameJENNIFER L WILSON
Location Address3050 HARRODSBURG RD, STE 100Lexington, KY 40503-2747
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 977-0237
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
NPI 1043321748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in KY · 41107
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 41107 (KY), 052858 (GA)
3050 HARRODSBURG RD, Lexington, KY 40503

Other Identifiers 3

Medicaid7100028860KY
MedicaidG52858SC
Medicaid135542874AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer L 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 16

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

Pharmacy (Community/Retail Pharmacy)
3050 HARRODSBURG RD
LEXINGTON, KY 40503
Pediatrics (Adolescent Medicine)
3050 HARRODSBURG RD
LEXINGTON, KY 40503
Pediatrics (Adolescent Medicine)
3050 HARRODSBURG RD
LEXINGTON, KY 40503
Clinic/Center (Physical Therapy)
3050 HARRODSBURG RD, SUITE 204
LEXINGTON, KY 40503
Pediatrics (Adolescent Medicine)
3050 HARRODSBURG RD
LEXINGTON, KY 40503
Pediatrics (Adolescent Medicine)
3050 HARRODSBURG RD
LEXINGTON, KY 40503
Pediatrics (Adolescent Medicine)
3050 HARRODSBURG RD
LEXINGTON, KY 40503
Physical Therapist
3050 HARRODSBURG RD, SUITE 200
LEXINGTON, KY 40503

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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1043321748. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 3050 Harrodsburg Rd Ste 100, Lexington, KY 40503. The listed phone number is (859) 277-6102.

What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Jennifer Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.