MS. JENNIFER MARIE WILSON FNP-C
NPI 1104197458
Nurse Practitioner - Family in Albany, OR
About Ms. Jennifer Marie Wilson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNIFER MARIE WILSON FNP-C (NPI 1104197458) is an individual family provider in Albany, Oregon, licensed in Oregon (201250109NP) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Ms. Jennifer Marie Wilson Fnp-c 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, OR 97322
- Reassigned Medicare billing, Oregon enrollment
- 432 clinicians in this Medicare group
Albany, OR 97321
- Reassigned Medicare billing, Oregon enrollment
- 522 clinicians in this Medicare group
Lebanon, OR 97355
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Mid-Valley Healthcare Inc
- Also billed through NPI 1508122763 (Oregon)
- 416 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Regional Medical Center
Acute Care Hospitals · Corvallis, ORSamaritan Albany General Hospital
Acute Care Hospitals · Albany, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ALBANY, OR 97322
ALBANY, OR 97322
ALBANY, OR 97322
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 Jennifer Wilson's NPI number?
The NPI number for Jennifer Wilson is 1104197458. It was assigned to this individual provider in the NPPES registry on January 18, 2012.
Where is Jennifer Wilson located?
Jennifer Wilson practices at 1700 Geary St SE, Albany, OR 97322. The listed phone number is (541) 812-5500.
What is Jennifer Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Wilson enrolled in Medicare?
Yes. Jennifer 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 organizations bill Medicare for Jennifer Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wilson reassigns Medicare benefits to 3 organizations: Albany General Hospital (Albany, OR), Good Samaritan Hospital Corvallis (Albany, OR) and Midv-Valley Healthcare, Inc. (Lebanon, OR). Each 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 Jennifer Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Wilson accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Jennifer 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 Jennifer Wilson affiliated with any hospitals?
According to CMS data, Jennifer Wilson is affiliated with Good Samaritan Regional Medical Center and Samaritan Albany General Hospital.
When was this NPI record last updated?
The NPPES record for Jennifer Wilson was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Jennifer Marie Wilson, FNP-C · NPI 1104197458
Family physician in Albany, Oregon. Individual provider, active in the CMS NPPES registry since January 18, 2012.
## Identity
- **NPI:** 1104197458 (Entity type: Individual)
- **Enumerated:** January 18, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201250109NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 GEARY ST SE, Albany, OR 97322-6842
- **Phone:** (541) 812-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Albany General Hospital (NPI 1013273275, Albany, OR); Good Samaritan Hospital Corvallis (NPI 1063779205, Albany, OR); Midv-Valley Healthcare, Inc. (NPI 1326304577, Lebanon, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** November 3, 2020
- **Other identifiers:** Medicaid 500656964 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1104197458) · Data from the CMS NPPES public registry.