MRS. JACLYN PLAICE WILSON WHNP
NPI 1346603941
Nurse Practitioner in Charlotte, NC

Q: What is Jaclyn Wilson's NPI number?

The NPI number for Jaclyn Wilson is 1346603941. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Jaclyn Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Wilson was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 31, 2016PECOS EnrolledAccepts Medicare Assignment

6331 CARMEL RD STE 102, CHARLOTTE, NC 28226(803) 984-7420 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Oct 19, 2023, Nov 23, 2021 and 3 more (6 updates tracked since 2016).

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About Mrs. Jaclyn Plaice Wilson Whnp NPPES

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

MRS. JACLYN PLAICE WILSON WHNP (NPI 1346603941) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5015179) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rock Hill, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346603941

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JACLYN PLAICE WILSONCredential: WHNP

Location Address6331 CARMEL RD STE 102Charlotte, NC 28226-8286

Mailing AddressPo Box 604136Charlotte, NC 28260-4136

Phone(803) 984-7420

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 31, 2016

Last NPPES UpdateDecember 7, 20236 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1346603941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5015179

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 20082 (SC)

6331 CARMEL RD STE 102, Charlotte, NC 28226

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Secondary Practice Location 1

Location 11140 Saluda StRock Hill, SC 29730-6225 · Phone (803) 984-7420

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, First Choice Next.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

Mrs. Jaclyn Plaice Wilson Whnp 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 ID2466740428

PECOS Enrollment IDI20211105001743

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28226 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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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.

NOVANT HEALTH MEDICAL GROUP. LLC

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