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JDEE RYAN WILSON MD
NPI 1598828816
Psychiatry & Neurology - Psychiatry in Blackfoot, ID

Active since December 18, 2006PECOS Enrolled
700 E ALICE ST, STATE HOSPITAL SOUTH, BLACKFOOT, ID 83221(208) 785-1200(208) 785-8516 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jdee Ryan Wilson Md NPPES

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

JDEE RYAN WILSON MD (NPI 1598828816) is an individual psychiatry provider in Blackfoot, Idaho, licensed in Idaho (M9137) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598828816
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJDEE RYAN WILSONCredential: MD
Location Address700 E ALICE ST, STATE HOSPITAL SOUTHBlackfoot, ID 83221
Mailing Address700 E Alice St, State Hospital SouthBlackfoot, ID 83221 · (208) 785-1200 · Fax (208) 785-8516
Phone(208) 785-1200
Fax(208) 785-8516
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598828816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in ID · M9137
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
700 E ALICE ST, Blackfoot, ID 83221
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI22562

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jdee Ryan Wilson Md 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.

Medicare Billing Reassignment

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

Mental Health Specialists
20 mi
Clinical
210 W BURNSIDE AVE, SUITE A
Chubbuck, ID 83202
  • Reassigned Medicare billing, Idaho enrollment
  • 16 clinicians in this Medicare group
NPI 1548585458 (208) 238-9000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHN TODD ALLEN PA-C
Physician Assistant
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
STATE OF IDAHO
Psychologist
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-8506
LUCAS P BELFORD PA
Physician Assistant
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
MR. MARK LUPTON DO
Internal Medicine
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
ANDREW L OLNES MD
Psychiatry & Neurology (Psychiatry)
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
NICKI ELIZABETH MUIR PHARM.D.
Pharmacist
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 782-2735
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Skilled Nursing Facility
700 E ALICE ST, BOX 400
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
HEATHER ADAMS N.P.
Nurse Practitioner (Psychiatric/Mental Health)
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200

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 Jdee Wilson's NPI number?

The NPI number for Jdee Wilson is 1598828816. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Jdee Wilson located?

Jdee Wilson practices at 700 E Alice St State Hospital South, Blackfoot, ID 83221. The listed phone number is (208) 785-1200.

What is Jdee Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jdee Wilson enrolled in Medicare?

Yes. Jdee Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jdee Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jdee Wilson reassigns Medicare benefits to Mental Health Specialists (Chubbuck, ID). 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 Jdee Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jdee Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.