JACQUELINE L WILSON
NPI 1184391435
Physician Assistant in Burlington, VT

Q: What is Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1184391435. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Q: What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 25, 2021PECOS Enrolled

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2022, Aug 25, 2021 (2 updates tracked since 2021).

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About Jacqueline L Wilson NPPES

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

JACQUELINE L WILSON (NPI 1184391435) is an individual physician assistant in Burlington, Vermont, licensed in Vermont (055.0031608) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184391435

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELINE L WILSON

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000

Phone(802) 847-0000

Sole ProprietorNo

Enumeration DateAugust 25, 2021

Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1184391435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in VT · 055.0031608✔ Licensed in NY · 026909

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

111 COLCHESTER AVE, Burlington, VT 05401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline L Wilson 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.

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.

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.

94 services93 patients

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

54 services53 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.

25 services24 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.

14 services14 patients

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

13 services13 patients

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

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

Most-billed visit code 99213

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.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

RICHARD BOHLING CAROZZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)