JACQUELYN N. WILSON P.A.
NPI 1114247426
Physician Assistant - Surgical in Charlottesville, VA

Q: What is Jacquelyn Wilson's NPI number?

The NPI number for Jacquelyn Wilson is 1114247426. It was assigned to this individual provider in the NPPES registry on June 9, 2010. The provider is also known as Jacquelyn N Sedlock PA.

Q: What is Jacquelyn Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Wilson was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2010PECOS EnrolledAccepts Medicare Assignment

79.39/100

CMS Quality Rating

2800 IVY RD, CHARLOTTESVILLE, VA 22903(434) 243-3600(434) 244-4454 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2023, Mar 28, 2023, Oct 19, 2020 and 2 more (5 updates tracked since 2016).

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About Jacquelyn N. Wilson P.a. NPPES

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

JACQUELYN N. WILSON P.A. (NPI 1114247426) is an individual surgical provider in Charlottesville, Virginia, licensed in Virginia (0110003305) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1114247426

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJACQUELYN N. WILSONCredential: P.A.

Location Address2800 IVY RDCharlottesville, VA 22903

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 243-3600

Fax(434) 244-4454

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 9, 2010

Last NPPES UpdateAugust 10, 20235 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1114247426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in VA · 0110003305

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110003305 (VA)

2800 IVY RD, Charlottesville, VA 22903

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Other Names 1

Former Name (1)Jacquelyn N Sedlock Pa

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-0211

Other Identifiers 1

Medicaid1114247426VA

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

Jacquelyn N. Wilson P.a. 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 ID9830222173

PECOS Enrollment IDI20100806000147

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.

Areas of Expertise CMS Part B claims 6

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

177 services119 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

156 services120 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services49 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

54 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

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.

79.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.66

Promoting Interoperability

100

Improvement Activities

Cost

57.65

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$70.62 avg. paid by Medicare

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4386

DME-Orthotic Devices · category DF000N

1 supplier24 claims24 services$122.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

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

MEGAN E ABRAMS PA-C

Physician Assistant