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JACKSON MEDICAL SUPPLY INC
NPI 1386974491
Durable Medical Equipment & Medical Supplies in Vacaville, CA

Active since January 12, 2010
506 MAIN ST, VACAVILLE, CA 95688(707) 446-7014(707) 446-1871 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackson Medical Supply Inc NPPES

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

JACKSON MEDICAL SUPPLY INC (NPI 1386974491) is a healthcare organization registered as a durable medical equipment & medical supplies in Vacaville, California and active in the NPI registry since January 2010. The organization lists Wendy Ann Wigmore, Owner, as its authorized official.

NPPES Registry Identity

NPI1386974491
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJACKSON MEDICAL SUPPLY INC
Location Address506 MAIN STVacaville, CA 95688-3922
Mailing Address506 Main StVacaville, CA 95688-3922 · (707) 446-7014 · Fax (707) 446-1871
Phone(707) 446-7014
Fax(707) 446-1871
Organization SubpartNo
Authorized OfficialWendy Ann WigmoreOwner · (707) 446-7014
Enumeration DateJanuary 12, 2010
Last NPPES UpdateJune 29, 2010
✔ NPI 1386974491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 103834
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
506 MAIN ST, Vacaville, CA 95688
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Other Identifiers 2

Medicaid03183FCA
Medicare NSC6375760001CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Medical Supply Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20100930054253DME · Medical Supply CompanyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 26

Medicare supplier enrollment and the product categories Jackson Medical Supply Inc carries, from the Medicare DMEPOS supplier directory.

Jackson Medical Supply Inc

DMEPOS supplier · Vacaville, CA
⋮

Does not accept Medicare assignment

Jackson Medical Supply Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20540813
Medicare Participant SinceApril 19, 2010
Supplier Location506 Main StVacaville, CA 95688
Phone(707) 446-7014
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Traction Equipment
Traction tables, Traction machines, Inversion tables
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

WENDY ANN WIGMORE RN
Durable Medical Equipment & Medical Supplies
506 MAIN ST
VACAVILLE, CA 95688
Solano County (707) 446-7014
WENDY WIGMORE
Durable Medical Equipment & Medical Supplies
506 MAIN ST
VACAVILLE, CA 95688
Solano County (707) 446-7014

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 Jackson Medical Supply Inc's NPI number?

The NPI number for Jackson Medical Supply Inc is 1386974491. It was assigned to this organization in the NPPES registry on January 12, 2010.

Where is Jackson Medical Supply Inc located?

Jackson Medical Supply Inc is located at 506 Main St, Vacaville, CA 95688. The listed phone number is (707) 446-7014.

What is Jackson Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Jackson Medical Supply Inc enrolled in Medicare?

Yes. Jackson Medical Supply Inc is registered in the Medicare PECOS enrollment system.

When is Jackson Medical Supply Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Medical Supply Company) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Jackson Medical Supply Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Jackson Medical Supply Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Jackson Medical Supply Inc was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.