JONATHAN D WILSON FNP - NPI 1043706146 - Nurse Practitioner in Layton, UT

Q: What is Jonathan Wilson's NPI number?

The NPI number for Jonathan Wilson is 1043706146. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Q: What is Jonathan Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Wilson was last updated on July 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jonathan D Wilson Fnp NPPES

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

JONATHAN D WILSON FNP (NPI 1043706146) is an individual nurse practitioner in Layton, Utah, licensed in Utah (6496499-4405) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043706146

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJONATHAN D WILSONCredential: FNP

Location Address3225 W GORDON AVE STE 1Layton, UT 84041-5728

Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3481 · Fax (801) 397-6151

Phone(801) 397-6150

Fax(801) 397-6151

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 2, 2018

✔ NPI 1043706146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 6496499-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3225 W GORDON AVE STE 1, Layton, UT 84041

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Other Identifiers 1

MedicaidPENDINGUT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan D 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 ID9234483058

PECOS Enrollment IDI20181114002300, I20250226002878

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84041 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES 9

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

MICHAEL DAYTON DELANGE MD

Family Medicine