JESSICA LAUREN WILSON CRNA
NPI 1639710684
Nurse Anesthetist, Certified Registered in Farmington Hills, MI
About Jessica Lauren Wilson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LAUREN WILSON CRNA (NPI 1639710684) is an individual nurse anesthetist, certified registered in Farmington Hills, Michigan, licensed in Michigan (4704297411) and active in the NPI registry since October 2019. She is affiliated with Beaumont Hospital - Farmington Hills and is a graduate of Wayne State University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jessica Lauren Wilson Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington Hills, MI 48336
- Reassigned Medicare billing, Michigan enrollment
- 69 clinicians in this Medicare group
Rochester, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 359 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Farmington Hills
Acute Care Hospitals · Farmington Hills, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FARMINGTON HILLS, MI 48336
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 Jessica Wilson's NPI number?
The NPI number for Jessica Wilson is 1639710684. It was assigned to this individual provider in the NPPES registry on October 1, 2019.
Where is Jessica Wilson located?
Jessica Wilson practices at 28050 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (248) 471-8000.
What is Jessica Wilson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jessica Wilson enrolled in Medicare?
Yes. Jessica 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 organizations bill Medicare for Jessica Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wilson reassigns Medicare benefits to 2 organizations: Botsford General Hospital (Farmington Hills, MI) and Asa Staffing Inc (Rochester, MI). Each 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 Jessica Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Wilson affiliated with any hospitals?
According to CMS data, Jessica Wilson is affiliated with Beaumont Hospital - Farmington Hills.
When was this NPI record last updated?
The NPPES record for Jessica Wilson was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jessica Lauren Wilson, CRNA · NPI 1639710684
Nurse Anesthetist, Certified Registered physician in Farmington Hills, Michigan. Individual provider, active in the CMS NPPES registry since October 1, 2019.
## Identity
- **NPI:** 1639710684 (Entity type: Individual)
- **Enumerated:** October 1, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704297411 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 28050 GRAND RIVER AVE, Farmington Hills, MI 48336-5919
- **Phone:** (248) 471-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Botsford General Hospital (NPI 1235179664, Farmington Hills, MI); Asa Staffing Inc (NPI 1114378981, Rochester, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639710684) · Data from the CMS NPPES public registry.