1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. General Practice
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA J WILSON CHAN D O PA
NPI 1457995953
General Practice in Tampa, FL

Active since October 29, 2019
3284 COVE BEND DR, TAMPA, FL 33613(813) 586-0618(813) 212-5367 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, Oct 29, 2019 (2 updates tracked since 2019).

About Jessica J Wilson Chan D O Pa NPPES

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

JESSICA J WILSON CHAN D O PA (NPI 1457995953) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since October 2019. The organization lists Jessica Jill Wilson-chan, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1457995953
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJESSICA J WILSON CHAN D O PA
Location Address3284 COVE BEND DRTampa, FL 33613-2752
Mailing Address18002 Richmond Place Dr Apt 124Tampa, FL 33647-1725 · (813) 586-0618 · Fax (813) 212-5367
Phone(813) 586-0618
Fax(813) 212-5367
Organization SubpartNo
Authorized OfficialJessica Jill Wilson-chanPhysician/owner · (813) 586-0618
Enumeration DateOctober 29, 2019
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1457995953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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
3284 COVE BEND DR, Tampa, FL 33613
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica J Wilson Chan D O Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jessica J Wilson Chan D O PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Wilson-Chan, D.O.
General Practice
NPI 1306153606
3284 COVE BEND DR
Tampa, FL 33613
(813) 586-0618
✔ PECOSSame address

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

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 Jessica J Wilson Chan D O PA's NPI number?

The NPI number for Jessica J Wilson Chan D O PA is 1457995953. It was assigned to this organization in the NPPES registry on October 29, 2019.

Where is Jessica J Wilson Chan D O PA located?

Jessica J Wilson Chan D O PA is located at 3284 Cove Bend Dr, Tampa, FL 33613. The listed phone number is (813) 586-0618.

What is Jessica J Wilson Chan D O PA's specialty?

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

Is Jessica J Wilson Chan D O PA enrolled in Medicare?

Yes. Jessica J Wilson Chan D O PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jessica J Wilson Chan D O PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Jessica J Wilson Chan D O PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jessica J Wilson Chan D O PA was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.