SHANIQUE WILSON M.D.
NPI 1578094264
Internal Medicine - Gastroenterology in Jacksonville, FL

Q: What is Shanique Wilson's NPI number?

The NPI number for Shanique Wilson is 1578094264. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Q: What is Shanique Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Shanique Wilson was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 23, 2017PECOS EnrolledAccepts Medicare Assignment

3627 UNIVERSITY BLVD S STE 705, JACKSONVILLE, FL 32216(904) 398-6718(904) 396-0329 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2023, Mar 23, 2017 (2 updates tracked since 2017).

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About Shanique Wilson M.d. NPPES

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

SHANIQUE WILSON M.D. (NPI 1578094264) is an individual gastroenterology provider in Jacksonville, Florida, licensed in Florida (ME162342) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Florida State University College Of Medicine (2017).

NPPES Registry Identity

NPI1578094264

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameSHANIQUE WILSONCredential: M.D.

Location Address3627 UNIVERSITY BLVD S STE 705Jacksonville, FL 32216-7403

Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-6718

Phone(904) 398-6718

Fax(904) 396-0329

Sole ProprietorNo

Medical School CMSFlorida State University College Of MedicineGraduated 2017

Enumeration DateMarch 23, 2017

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1578094264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME162342

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3627 UNIVERSITY BLVD S STE 705, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Shanique Wilson M.d. 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 ID42678005

PECOS Enrollment IDI20230622003682

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 Reassignment

Medicare enrollment records show Shanique Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Borland Groover Clinic, PA

2.7 mi

Gastroenterology

4800 BELFORT RD
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
121 clinicians in this Medicare group

NPI 1881644912 (904) 398-7205

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

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

78 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

42 services40 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

36 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services31 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services25 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

23 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services21 patients

Monitoring and recording of esophageal function through nasal tube with electrode 91037

This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100179

Location3625 University Blvd SJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 Shanique Wilson's NPI number?

The NPI number for Shanique Wilson is 1578094264. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Shanique Wilson located?

Shanique Wilson practices at 3627 University Blvd S Ste 705, Jacksonville, FL 32216. The listed phone number is (904) 398-6718.

What is Shanique Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shanique Wilson enrolled in Medicare?

Yes. Shanique 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 organization bills Medicare for Shanique Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanique Wilson reassigns Medicare benefits to Borland Groover Clinic, PA (Jacksonville, FL). The 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 Shanique Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanique Wilson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Shanique 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 Shanique Wilson affiliated with any hospitals?

According to CMS data, Shanique Wilson is affiliated with Baptist Health Medical Center - Jacksonville and Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shanique Wilson was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.