WILSON CLINICAL SERVICES, PLLC.
NPI 1063643567
Psychologist - Prescribing (Medical) in Tacoma, WA
About Wilson Clinical Services, Pllc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILSON CLINICAL SERVICES, PLLC. (NPI 1063643567) is a healthcare organization registered as a prescribing (medical) in Tacoma, Washington and active in the NPI registry since July 2009. The organization maintains a secondary practice location in Montpelier and lists Jaime A B Wilson, Prescribing Medical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wilson Clinical Services, Pllc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilson Clinical Services, PLLC., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wilson Clinical Services, PLLC.'s NPI number?
The NPI number for Wilson Clinical Services, PLLC. is 1063643567. It was assigned to this organization in the NPPES registry on July 31, 2009.
Where is Wilson Clinical Services, PLLC. located?
Wilson Clinical Services, PLLC. is located at 1117 A St, Tacoma, WA 98402. The listed phone number is (360) 339-7752.
What is Wilson Clinical Services, PLLC.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.
Is Wilson Clinical Services, PLLC. enrolled in Medicare?
Yes. Wilson Clinical Services, PLLC. is registered in the Medicare PECOS enrollment system.
When is Wilson Clinical Services, PLLC.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wilson Clinical Services, PLLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Wilson Clinical Services, PLLC.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wilson Clinical Services, PLLC. accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Wilson Clinical Services, PLLC. 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.
When was this NPI record last updated?
The NPPES record for Wilson Clinical Services, PLLC. was last updated on February 9, 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.
# Wilson Clinical Services, Pllc. · NPI 1063643567
Prescribing (Medical) organization in Tacoma, Washington. Organization record, active in the CMS NPPES registry since July 31, 2009.
## Identity
- **NPI:** 1063643567 (Entity type: Organization)
- **Enumerated:** July 31, 2009
- **Primary specialty:** Psychologist - Prescribing (Medical) · taxonomy 103TP0016X
- **Organization subpart:** No
- **Authorized official:** Jaime Wilson, PRESCRIBING MEDICAL PSYCHOLOGIST
## Practice location
- **Address:** 1117 A ST, Tacoma, WA 98402-5003
- **Phone:** (360) 339-7752
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1063643567) · Data from the CMS NPPES public registry.