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MS. JACQUELINE LATIA WILSON FNP-C
NPI 1225687791
Nurse Practitioner - Family in Louisville, KY

Active since September 08, 2019PECOS EnrolledAccepts Medicare Assignment
225 N CLIFTON AVE, LOUISVILLE, KY 40206(502) 794-3894(502) 794-2873 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2020, Dec 11, 2019, Sep 8, 2019 (3 updates tracked since 2019).

About Ms. Jacqueline Latia Wilson Fnp-c NPPES

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

MS. JACQUELINE LATIA WILSON FNP-C (NPI 1225687791) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3013705) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1225687791
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JACQUELINE LATIA WILSONCredential: FNP-C
Location Address225 N CLIFTON AVELouisville, KY 40206-2496
Mailing Address225 N Clifton AveLouisville, KY 40206-2496 · (502) 794-3894 · Fax (502) 794-2873
Phone(502) 794-3894
Fax(502) 794-2873
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 8, 2019
Last NPPES UpdateMarch 13, 20203 updates tracked since enumeration
NPPES CertifiedMarch 13, 2020
✔ NPI 1225687791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3013705
225 N CLIFTON AVE, Louisville, KY 40206
Open in Google Maps ↗

Secondary Practice Location 1

Location 17012 Watson LnLouisville, KY 40272-1143 · Phone (270) 219-9039

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Ms. Jacqueline Latia 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.

PECOS PAC ID4789019084
PECOS Enrollment IDI20200114003647
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 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.

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.
59 services21 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.
18 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40206 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

MADISON MARIE CHOPPA
Psychologist (Clinical)
225 N CLIFTON AVE
LOUISVILLE, KY 40206
Jefferson County (502) 496-4928

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 Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1225687791. It was assigned to this individual provider in the NPPES registry on September 8, 2019.

Where is Jacqueline Wilson located?

Jacqueline Wilson practices at 225 N Clifton Ave, Louisville, KY 40206. The listed phone number is (502) 794-3894.

What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Wilson enrolled in Medicare?

Yes. Jacqueline 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.

What insurance does Jacqueline Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Jacqueline 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 Jacqueline Wilson affiliated with any hospitals?

According to CMS data, Jacqueline Wilson is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.