JERELL JAMES WILSON D.D.S
NPI 1770844359
Dentist in Lawrence, KS

Q: What is Jerell Wilson's NPI number?

The NPI number for Jerell Wilson is 1770844359. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Q: What is Jerell Wilson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jerell Wilson was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 31, 2012PECOS Enrolled

316 MAINE ST, LAWRENCE, KS 66044(785) 312-7770(785) 312-9447 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jerell James Wilson D.d.s NPPES

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

JERELL JAMES WILSON D.D.S (NPI 1770844359) is an individual dentist in Lawrence, Kansas, licensed in Missouri (2012015521) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770844359

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJERELL JAMES WILSONCredential: D.D.S

Location Address316 MAINE STLawrence, KS 66044-1359

Mailing Address1811 Zumbehl RdSaint Charles, MO 63303-2728 · (636) 947-1800 · Fax (636) 916-0114

Phone(785) 312-7770

Fax(785) 312-9447

Sole ProprietorYes

Enumeration DateMay 31, 2012

Last NPPES UpdateJune 30, 2014

✔ NPI 1770844359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2012015521

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

316 MAINE ST, Lawrence, KS 66044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerell James Wilson D.d.s 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66044 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

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 Jerell Wilson's NPI number?

The NPI number for Jerell Wilson is 1770844359. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Jerell Wilson located?

Jerell Wilson practices at 316 Maine St, Lawrence, KS 66044. The listed phone number is (785) 312-7770.

What is Jerell Wilson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerell Wilson enrolled in Medicare?

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

What insurance does Jerell Wilson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Jerell 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.

When was this NPI record last updated?

The NPPES record for Jerell Wilson was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.