MS. JILL R KONZELMAN WILSON P.A.
NPI 1073524864
Physician Assistant - Surgical in Pensacola, FL
About Ms. Jill R Konzelman Wilson P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JILL R KONZELMAN WILSON P.A. (NPI 1073524864) is an individual surgical provider in Pensacola, Florida, licensed in Florida (PA9103579) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jill R Konzelman Wilson P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
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 Jill Konzelman Wilson's NPI number?
The NPI number for Jill Konzelman Wilson is 1073524864. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is Jill Konzelman Wilson located?
Jill Konzelman Wilson practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-7000.
What is Jill Konzelman Wilson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jill Konzelman Wilson enrolled in Medicare?
Yes. Jill Konzelman Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jill Konzelman Wilson was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Jill R Konzelman Wilson, P.A. · NPI 1073524864
Surgical physician in Pensacola, Florida. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1073524864 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA9103579 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5151 N 9TH AVE, Pensacola, FL 32504-8721
- **Phone:** (850) 416-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1073524864) · Data from the CMS NPPES public registry.