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MR. JEFFREY LYNN WILSON FNP-BC
NPI 1073909883
Clinical Nurse Specialist - Family Health in Ooltewah, TN

Active since April 08, 2015PECOS Enrolled
5516 BARONS PT, OOLTEWAH, TN 37363(423) 987-5333 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jeffrey Lynn Wilson Fnp-bc NPPES

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

MR. JEFFREY LYNN WILSON FNP-BC (NPI 1073909883) is an individual family health provider in Ooltewah, Tennessee, licensed in Tennessee (19891) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073909883
Entity TypeIndividualMale
Primary Taxonomy364SF0001X
Provider Legal NameMR. JEFFREY LYNN WILSONCredential: FNP-BC
Location Address5516 BARONS PTOoltewah, TN 37363-8875
Mailing Address5516 Barons PtOoltewah, TN 37363-8875 · (423) 987-5333
Phone(423) 987-5333
Sole ProprietorYes
Enumeration DateApril 8, 2015
✔ NPI 1073909883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in TN · 19891
5516 BARONS PT, Ooltewah, TN 37363
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Other Names 1

Other Name (5)Mr. Jeff Lynn Wilson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Lynn Wilson Fnp-bc 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.

Medicare Billing Reassignment

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

Theoria Medical
517 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37363 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 Jeffrey Wilson's NPI number?

The NPI number for Jeffrey Wilson is 1073909883. It was assigned to this individual provider in the NPPES registry on April 8, 2015. The provider is also known as Mr. Jeff Lynn Wilson.

Where is Jeffrey Wilson located?

Jeffrey Wilson practices at 5516 Barons Pt, Ooltewah, TN 37363. The listed phone number is (423) 987-5333.

What is Jeffrey Wilson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Jeffrey Wilson enrolled in Medicare?

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

Which organization bills Medicare for Jeffrey Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wilson reassigns Medicare benefits to Theoria Medical (Novi, MI). 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 Jeffrey Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Wilson accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Wilson was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.