JODI MICHELLE WILSON
NPI 1467056184
Nurse Practitioner - Family in Pasadena, CA
About Jodi Michelle Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODI MICHELLE WILSON (NPI 1467056184) is an individual family provider in Pasadena, California, licensed in California (95016068) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Jodi Michelle Wilson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jodi Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pasadena, CA 91106
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Craig R. Johnson, MD, Inc.
- 4 clinicians in this Medicare group
Los Angeles, CA 90045
- Reassigned Medicare billing, California enrollment
- 304 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jodi Wilson's NPI number?
The NPI number for Jodi Wilson is 1467056184. It was assigned to this individual provider in the NPPES registry on November 23, 2020.
Where is Jodi Wilson located?
Jodi Wilson practices at 960 E Green St Ste 292, Pasadena, CA 91106. The listed phone number is (626) 449-4494.
What is Jodi Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jodi Wilson enrolled in Medicare?
Yes. Jodi 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 Jodi Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Wilson reassigns Medicare benefits to 3 organizations: Craig R. Johnson, M.D., Inc. (Pasadena, CA), American Current Care Of California, A Medical Corporation (Los Angeles, CA) and Dispatchhealth-Ca, PC (Tustin, CA). 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 Jodi Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jodi Wilson was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jodi Michelle Wilson · NPI 1467056184
Family physician in Pasadena, California. Individual provider, active in the CMS NPPES registry since November 23, 2020.
## Identity
- **NPI:** 1467056184 (Entity type: Individual)
- **Enumerated:** November 23, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95016068 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 960 E GREEN ST STE 292, Pasadena, CA 91106-2401
- **Phone:** (626) 449-4494
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Craig R. Johnson, M.D., Inc. (NPI 1578962825, Pasadena, CA); American Current Care Of California, A Medical Corporation (NPI 1750573622, Los Angeles, CA); Dispatchhealth-Ca, PC (NPI 1639752553, Tustin, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467056184) · Data from the CMS NPPES public registry.