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

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: October 18, 2026.

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

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, is affiliated with Penn Presbyterian Medical Center, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacqueline Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of The University Of Pennsylvania
0.2 mi
Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 199 clinicians in this Medicare group
NPI 1124882949 (215) 662-8000
University Of Penn-Medical Group
0.2 mi
Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 752 clinicians in this Medicare group
NPI 1386751089 (215) 662-8000
University Of Pittsburgh Physicians
246 mi
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1407985674 (412) 823-6222

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

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
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

ARSIA JAMALI
Internal Medicine (Gastroenterology)
3737 MARKET STREET, 11TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8900
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 CHRISTINE REGER CRNP
Nurse Practitioner (Gerontology)
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3487
SAVANNAH MARIE ALVARADO LIPOFF MD
Dermatology
3737 MARKET STREET, 11TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8060

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.

Which organizations bill Medicare for Jacqueline Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wilson reassigns Medicare benefits to 3 organizations: Trustees Of The University Of Pennsylvania (Philadelphia, PA), University Of Penn-Medical Group (Philadelphia, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jacqueline Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Wilson affiliated with any hospitals?

According to CMS data, Jacqueline Wilson is affiliated with Penn Presbyterian Medical Center.

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 18 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.