JAIMIN WILSON PA
NPI 1679305478
Physician Assistant in Boston, MA

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment
200 NASHUA ST, BOSTON, MA 02114(617) 635-1100 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 24, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Jaimin Wilson Pa NPPES

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

JAIMIN WILSON PA (NPI 1679305478) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679305478
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAIMIN WILSONCredential: PA
Location Address200 NASHUA STBoston, MA 02114-1105
Mailing Address22 Water St Apt 1509Cambridge, MA 02141-1399 · (401) 864-1689
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 19, 2024
Last NPPES UpdateDecember 24, 20242 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
NPI 1679305478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

200 NASHUA ST, Boston, MA 02114

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

Jaimin Wilson Pa 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 ID9335622208
PECOS Enrollment IDI20260310002818
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 8

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

Social Worker (Clinical)
200 NASHUA ST
BOSTON, MA 02114
Social Worker (Clinical)
200 NASHUA ST
BOSTON, MA 02114
Nurse Practitioner (Community Health)
200 NASHUA ST
BOSTON, MA 02114
Social Worker (Clinical)
200 NASHUA ST
BOSTON, MA 02114
Nurse Practitioner (Psychiatric/Mental Health)
200 NASHUA ST
BOSTON, MA 02114
Social Worker
200 NASHUA ST
BOSTON, MA 02114
Social Worker (Clinical)
200 NASHUA ST
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
200 NASHUA ST
BOSTON, MA 02114

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 Jaimin Wilson's NPI number?

The NPI number for Jaimin Wilson is 1679305478. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Jaimin Wilson located?

Jaimin Wilson practices at 200 Nashua St, Boston, MA 02114. The listed phone number is (617) 635-1100.

What is Jaimin Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jaimin Wilson enrolled in Medicare?

Yes. Jaimin 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.

When was this NPI record last updated?

The NPPES record for Jaimin Wilson was last updated on December 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.