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JODI MICHELLE WILSON
NPI 1467056184
Nurse Practitioner - Family in Pasadena, CA

Active since November 23, 2020PECOS EnrolledAccepts Medicare Assignment
960 E GREEN ST STE 292, PASADENA, CA 91106(626) 449-4494 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Nov 23, 2020 (2 updates tracked since 2020).

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

NPI1467056184
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJODI MICHELLE WILSON
Location Address960 E GREEN ST STE 292Pasadena, CA 91106-2401
Mailing Address960 E Green StPasadena, CA 91106-2422 · (626) 840-4757
Phone(626) 449-4494
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 23, 2020
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1467056184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95016068
960 E GREEN ST STE 292, Pasadena, CA 91106
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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

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.

PECOS PAC ID3870970718
PECOS Enrollment IDI20220516002141
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 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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

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.