DR. JACQUELINE DEANNA WILSON MD
NPI 1457678377
Internal Medicine in Philadelphia, PA

Q: What is Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1457678377. It was assigned to this individual provider in the NPPES registry on May 2, 2010.

Q: What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 May 02, 2010PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

3737 MARKET STREET, 9TH FLOOR, PHILADELPHIA, PA 19104(215) 662-8777(215) 243-4601 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Oct 21, 2020 (2 updates tracked since 2020).

On this page

About Dr. Jacqueline Deanna Wilson Md NPPES

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

DR. JACQUELINE DEANNA WILSON MD (NPI 1457678377) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD461194) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2010).

NPPES Registry Identity

NPI1457678377

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACQUELINE DEANNA WILSONCredential: MD

Location Address3737 MARKET STREET, 9TH FLOORPhiladelphia, PA 19104-5548

Mailing Address51 N 39th St, Ppmc - Mutch 7Philadelphia, PA 19104-5548 · (215) 662-8777 · Fax (215) 243-4601

Phone(215) 662-8777

Fax(215) 243-4601

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2010

Enumeration DateMay 2, 2010

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1457678377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD461194

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License MD461194 (PA)

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License MD461194 (PA)

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License MD461194 (PA)

3737 MARKET STREET, Philadelphia, PA 19104

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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

Dr. Jacqueline Deanna Wilson Md 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 ID1759531627

PECOS Enrollment IDI20171027001494

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 19104 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

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.

SHAVON ROBIN TATUM RN, FNP-C

Nurse Practitioner

3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

RACHEL DAYNO MD

Internal Medicine (Rheumatology)

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4333

JORDAN ELIZABETH VITELLI PA-C

Physician Assistant

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

SARA JESSICA DOWNIE PA, MPH

Physician Assistant

3737 MARKET STREET, 4TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (856) 264-1549

RACHEL ELIZABETH KISHTON MD

Family Medicine

3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

JULIA REGER CRNP

Nurse Practitioner (Gerontology)

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (484) 326-8511

DR. SAHBA OBOUDIYAT DO

Physical Medicine & Rehabilitation

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3340

BERJE HAROUTUON SHAMMASSIAN

Neurological Surgery

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (610) 212-1390

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 1457678377. It was assigned to this individual provider in the NPPES registry on May 2, 2010.

Where is Jacqueline Wilson located?

Jacqueline Wilson practices at 3737 Market Street 9th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-8777.

What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.

When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.