JAKE BARRETT WILSON
NPI 1245792357
Student in an Organized Health Care Education/Training Program in Gainesville, FL
NPI Status: Active since April 05, 2019
Contact Information
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0239
Fax: (352) 265-1107
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JAKE WILSON
This page provides the complete NPI Profile along with additional information for Jake Wilson, a primary care provider established in Gainesville, Florida with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1245792357 assigned on April 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1245792357
- Provider Name
- JAKE BARRETT WILSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1600 SW ARCHER RD STE 4102 GAINESVILLE, FL 32610
- Location Phone
- (352) 265-0239
- Location Fax
- (352) 265-1107
- Mailing Address
- 1600 SW ARCHER RD STE 4102 GAINESVILLE, FL 32610
- Mailing Phone
- (352) 265-0239
- Mailing Fax
- (352) 265-1107
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-05-2019
- Last Update Date
- 04-05-2019
- Code Navigator
A primary care provider (PCP) like Jake Wilson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Jake Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 9 | 2 | 3 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 9 | 4 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 9 + 4 + 3 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1245792357 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
HARRIS KHAN
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
MICHELLE DIMZA
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
STEVEN MATTHEW BRADY DO
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
ISHAAN KAMBO MADHOK
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
DR. YAZAN ASSAF MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
OMKAR BETAGERI MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
DR. KRISTINA WEITZEL MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
DR. EVAN LOUIS BARRIOS MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
DR. ELENA SERGEEVNA NIKONOVA MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
SERI HANAYNEH MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
HANNAH JACON PA-C
Physician Assistant
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
MICHAEL RYAN BLOTNER
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
NATHAN JAMES BURRISS
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
JONATHAN LOPEZ
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
ANDREW J TUCKER DO
Internal Medicine
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
DR. DANIEL AINE DO
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
ARUSHI THAPER
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
JEFFERY BRANDON BUDWEG MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
DR. ERIC EUGENE HOPKINS MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
YI LUO M.D.
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL
ZIP 32610
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245792357, enumerated as an "individual" on April 05, 2019.
The provider is located at 1600 SW ARCHER RD STE 4102 GAINESVILLE, FL 32610 and the phone number is (352) 265-0239.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
