JEROME LAURENCE WILSON PA-C
NPI 1588765010
Physician Assistant - Surgical in Skokie, IL

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
9650 GROSS POINT RD, SKOKIE, IL 60076(847) 676-1112 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Oct 6, 2023, Mar 17, 2021 and 1 more (4 updates tracked since 2019).

About Jerome Laurence Wilson Pa-c NPPES

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

JEROME LAURENCE WILSON PA-C (NPI 1588765010) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085001943) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Olympia Fields.

NPPES Registry Identity

NPI1588765010
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJEROME LAURENCE WILSONCredential: PA-C
Location Address9650 GROSS POINT RDSkokie, IL 60076-5080
Mailing Address2650 Ridge AveEvanston, IL 60201-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 26, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
NPI 1588765010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 085001943
9650 GROSS POINT RD, Skokie, IL 60076

Secondary Practice Location 1

Location 12605 Lincoln Hwy, Suite 121Olympia Fields, IL 60461-1846 · Phone (773) 354-8990

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

Jerome Laurence Wilson Pa-c 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 ID8628075439
PECOS Enrollment IDI20061108000277
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.

Areas of Expertise CMS Part B claims 5

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
164 services133 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.
152 services121 patients
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.
125 services110 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.
36 services36 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
9650 GROSS POINT RD, SUITE 2900
SKOKIE, IL 60076
Surgery (Trauma Surgery)
9650 GROSS POINT RD
SKOKIE, IL 60076
Internal Medicine
9650 GROSS POINT RD
SKOKIE, IL 60076
Physical Medicine & Rehabilitation
9650 GROSS POINT RD
SKOKIE, IL 60076
Physician Assistant
9650 GROSS POINT RD
SKOKIE, IL 60076
Nurse Practitioner
9650 GROSS POINT RD
SKOKIE, IL 60076
Internal Medicine
9650 GROSS POINT RD, 1900
SKOKIE, IL 60076
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
9650 GROSS POINT RD
SKOKIE, IL 60076

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 Jerome Wilson's NPI number?

The NPI number for Jerome Wilson is 1588765010. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Jerome Wilson located?

Jerome Wilson practices at 9650 Gross Point Rd, Skokie, IL 60076. The listed phone number is (847) 676-1112.

What is Jerome Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jerome Wilson enrolled in Medicare?

Yes. Jerome 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.

Is Jerome Wilson affiliated with any hospitals?

According to CMS data, Jerome Wilson is affiliated with Northshore University Healthsystem - Evanston Hospital, Franciscan Health Dyer and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Jerome Wilson was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.