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

Q: 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.

Q: What is Jerome Wilson's specialty?

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

Q: 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 8 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.

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: October 25, 2026.

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

On this page

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

Phone(847) 676-1112

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

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.

Medicare Billing Reassignment

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

First Call Urology PC

44 mi

Urology

5164 E 81ST AVE
Merrillville, IN 46410

Reassigned Medicare billing, Indiana enrollment
2 clinicians in this Medicare group

NPI 1083497762 (708) 872-7809

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 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.

DR. DAVID W ROBERTS MD

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

9650 GROSS POINT RD, SUITE 2900
SKOKIE, IL 60076

Cook County (847) 866-7846

ADAM LAM MD

Surgery (Trauma Surgery)

9650 GROSS POINT RD
SKOKIE, IL 60076

Cook County (847) 570-1700

TALEEN GHAREEB GHAREEBIAN M.D

Internal Medicine

9650 GROSS POINT RD
SKOKIE, IL 60076

Cook County (847) 982-6710

DR. MATTHEW CO D.O.

Physical Medicine & Rehabilitation

9650 GROSS POINT RD
SKOKIE, IL 60076

Cook County (847) 503-4249

HANNAH BLOOM LANE PA-C

Physician Assistant

9650 GROSS POINT RD
SKOKIE, IL 60076

Cook County (847) 982-6710

ANNA MARIA LASOTA NP-C

Nurse Practitioner

9650 GROSS POINT RD
SKOKIE, IL 60076

Cook County (847) 864-3278

DR. MICHAEL K RAYMOND

Internal Medicine

9650 GROSS POINT RD, 1900
SKOKIE, IL 60076

Cook County (847) 676-1112

JAWAD J NAJDAWI

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

9650 GROSS POINT RD
SKOKIE, IL 60076

Cook County (224) 251-2468

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.

Which organization bills Medicare for Jerome Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Wilson reassigns Medicare benefits to First Call Urology PC (Merrillville, IN). 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 Jerome Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerome Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Jerome 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 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 8 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.