DR. JESSICA SANTRICE WILSON DO
NPI 1760004295
Student in an Organized Health Care Education/Training Program in Arlington, TX

Active since May 06, 2020PECOS Enrolled
3301 MATLOCK RD, ARLINGTON, TX 76015(817) 347-1141 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jessica Santrice Wilson Do NPPES

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

DR. JESSICA SANTRICE WILSON DO (NPI 1760004295) is an individual student in an organized health care education/training program in Arlington, Texas and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760004295
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JESSICA SANTRICE WILSONCredential: DO
Location Address3301 MATLOCK RDArlington, TX 76015-2908
Mailing Address3301 Matlock RdArlington, TX 76015-2908
Sole ProprietorNo
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
NPI 1760004295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3301 MATLOCK RD, Arlington, TX 76015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jessica Santrice Wilson Do 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.

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.

Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760004295, enumerated as an "individual" on May 06, 2020.

The provider is located at 3301 MATLOCK RD ARLINGTON, TX 76015 and the phone number is (817) 347-1141.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.