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JACQUELINE WILSON FNP
NPI 1043625502
Nurse Practitioner - Family in Keller, TX

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
940 KELLER PKWY STE 250, KELLER, TX 76248(972) 716-3922 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Wilson Fnp NPPES

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

JACQUELINE WILSON FNP (NPI 1043625502) is an individual family provider in Keller, Texas, licensed in Texas (AP125844) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043625502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE WILSONCredential: FNP
Location Address940 KELLER PKWY STE 250Keller, TX 76248-3657
Mailing Address5929 Balcones Dr Ste 200Austin, TX 78731-4280 · (512) 550-1800
Phone(972) 716-3922
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1043625502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP125844
940 KELLER PKWY STE 250, Keller, TX 76248
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Wilson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012207699
PECOS Enrollment IDI20260209000332
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norman Regional Providers Primary Care
159 mi
Family Medicine
500 E ROBINSON ST STE 2400
Norman, OK 73071
  • Reassigned Medicare billing, Oklahoma enrollment
  • 73 clinicians in this Medicare group
NPI 1548398274 (405) 515-0380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
913 services16 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
350 services28 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
197 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1043625502. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Jacqueline Wilson located?

Jacqueline Wilson practices at 940 Keller Pkwy Ste 250, Keller, TX 76248. The listed phone number is (972) 716-3922.

What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Wilson enrolled in Medicare?

Yes. Jacqueline Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacqueline Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wilson reassigns Medicare benefits to Norman Regional Providers Primary Care (Norman, OK). 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 Jacqueline Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Wilson accept?

Health plans from Imperial Insurance Companies, Inc. and Mending Health list Jacqueline Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Wilson affiliated with any hospitals?

According to CMS data, Jacqueline Wilson is affiliated with Norman Regional.

When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.