PAIGE JENNIFER WILSON DO
NPI 1477307965
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Q: What is Paige Wilson's NPI number?

The NPI number for Paige Wilson is 1477307965. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Q: What is Paige Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Paige Wilson was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 12, 2024PECOS Enrolled

2627 SW RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-8434 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Apr 12, 2024 (2 updates tracked since 2024).

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About Paige Jennifer Wilson Do NPPES

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

PAIGE JENNIFER WILSON DO (NPI 1477307965) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477307965

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePAIGE JENNIFER WILSONCredential: DO

Location Address2627 SW RIVERSIDE AVEJacksonville, FL 32204-4717

Mailing Address2627 Sw Riverside AveJacksonville, FL 32204-4717 · (904) 308-7372

Phone(904) 308-8434

Sole ProprietorNo

Enumeration DateApril 12, 2024

Last NPPES UpdateMay 7, 20242 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1477307965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2627 SW RIVERSIDE AVE, Jacksonville, FL 32204

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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 (PECOS)

Paige Jennifer Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUBY GRAVROK SOLLEE MD