DR. JESSICA JILL WILSON-CHAN D.O.
NPI 1306153606
General Practice in Tampa, FL

Q: What is Jessica Wilson-chan's NPI number?

The NPI number for Jessica Wilson-chan is 1306153606. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Q: What is Jessica Wilson-chan's specialty?

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

Active since September 08, 2010PECOS Enrolled

3284 COVE BEND DR, TAMPA, FL 33613(813) 586-0618(813) 212-5367 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jessica Jill Wilson-chan D.o. NPPES

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

DR. JESSICA JILL WILSON-CHAN D.O. (NPI 1306153606) is an individual general practice provider in Tampa, Florida, licensed in Florida (OS11030) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1306153606

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. JESSICA JILL WILSON-CHANCredential: D.O.

Location Address3284 COVE BEND DRTampa, FL 33613-2752

Mailing Address18002 Richmond Place Dr Apt 124Tampa, FL 33647-1725 · (702) 885-7789 · Fax (813) 212-5367

Phone(813) 586-0618

Fax(813) 212-5367

Sole ProprietorYes

Enumeration DateSeptember 8, 2010

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1306153606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · OS11030

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

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License OS11030 (FL)

3284 COVE BEND DR, Tampa, FL 33613

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Secondary Practice Location 1

Location 118002 Richmond Place Dr Apt 124Tampa, FL 33647-1725 · Phone (702) 885-7789 · Fax (813) 212-5367

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Jill Wilson-chan D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Wilson-chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jessica J Wilson Chan D O PA

Same address

General Practice

3284 COVE BEND DR
Tampa, FL 33613

Reassigned Medicare billing, Florida enrollment

NPI 1457995953 (813) 586-0618

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

Areas of Expertise CMS Part B claims

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 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.

58 services21 patients

Other Providers at the Same Location NPPES 5

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

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