DR. JACQUELINE KAY WILLE MD
NPI 1114776853
Family Medicine in Duluth, MN

Q: What is Jacqueline Wille's NPI number?

The NPI number for Jacqueline Wille is 1114776853. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Q: What is Jacqueline Wille's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Wille was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment

330 N 8TH AVE E, DULUTH, MN 55805(218) 723-1112 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2026, May 15, 2024 (2 updates tracked since 2024).

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About Dr. Jacqueline Kay Wille Md NPPES

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

DR. JACQUELINE KAY WILLE MD (NPI 1114776853) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (80900) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (2024).

NPPES Registry Identity

NPI1114776853

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACQUELINE KAY WILLECredential: MD

Location Address330 N 8TH AVE EDuluth, MN 55805-2024

Mailing Address330 N 8th Ave EDuluth, MN 55805-2024 · (218) 723-1112

Phone(218) 723-1112

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2024

Enumeration DateMay 15, 2024

Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1114776853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 80900

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

330 N 8TH AVE E, Duluth, MN 55805

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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

Dr. Jacqueline Kay Wille Md 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 ID7214471432

PECOS Enrollment IDI20260127003053

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 Jacqueline Wille reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duluth Graduate Medical Education Council Inc

Same address

Family Medicine

330 N 8TH AVE E
Duluth, MN 55805

Reassigned Medicare billing, Minnesota enrollment
56 clinicians in this Medicare group

NPI 1972585867 (218) 723-1112

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

Hospital Affiliations CMS Care Compare

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

DR. KYLIE ELIZABETH KRAFT MD

Family Medicine