JESSICA LAUREN WIMBERLY MD
NPI 1215791082
General Practice in Tacoma, WA

Q: What is Jessica Wimberly's NPI number?

The NPI number for Jessica Wimberly is 1215791082. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Q: What is Jessica Wimberly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wimberly was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 12, 2024PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1250 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jessica Lauren Wimberly Md NPPES

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

JESSICA LAUREN WIMBERLY MD (NPI 1215791082) is an individual general practice provider in Tacoma, Washington, licensed in Virginia (0101286716) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215791082

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameJESSICA LAUREN WIMBERLYCredential: MD

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1250

Phone(253) 968-1250

Sole ProprietorNo

Enumeration DateFebruary 12, 2024

Last NPPES UpdateSeptember 9, 2025

NPPES CertifiedSeptember 9, 2025

✔ NPI 1215791082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101286716

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lauren Wimberly Md 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.

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.

KRISTAL CELESTE MELVIN CRNP

Nurse Practitioner (Family)

9040 JACKSON AVE
TACOMA, WA 98431

Pierce County (804) 519-0462

MR. JOHN RICHARD PORTER PA-C

Physician Assistant

9040 JACKSON AVE, MAMC FAMILY MED DEPT
TACOMA, WA 98431

Pierce County (253) 968-0770

LORRAINE DENISE MASSE FNP

Nurse Practitioner (Family)

9040 JACKSON AVE
TACOMA, WA 98431

Pierce County (253) 968-0770

ANN PEPPERS ARNP

Nurse Practitioner (Neonatal)

9040 JACKSON AVE
TACOMA, WA 98431

Pierce County (253) 968-2252

JOSPEH W GLENN NP-C

Nurse Practitioner (Adult Health)

9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER WTB CLINIC
TACOMA, WA 98431

Pierce County (785) 239-7582

EVAN BRAGIN

Registered Nurse (Psychiatric/Mental Health, Adult)

9040 JACKSON AVE, MCHJ-CLQ-C
TACOMA, WA 98431

Pierce County (253) 968-3564

ANDREA LYNN ZUNIGA LMHC

Counselor (Mental Health)

9040 JACKSON AVE
TACOMA, WA 98431

Pierce County (253) 968-4545

ALBERT ALLAN DIXON MD

Specialist

9040 JACKSON AVE
TACOMA, WA 98431

Pierce County (253) 968-1374

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 Jessica Wimberly's NPI number?

The NPI number for Jessica Wimberly is 1215791082. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Jessica Wimberly located?

Jessica Wimberly practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1250.

What is Jessica Wimberly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jessica Wimberly enrolled in Medicare?

Yes. Jessica Wimberly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Wimberly was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.