MR. JEFFREY MATTHEW WILSON NP
NPI 1801185814
Nurse Practitioner - Psychiatric/Mental Health in Santa Ana, CA
About Mr. Jeffrey Matthew Wilson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEFFREY MATTHEW WILSON NP (NPI 1801185814) is an individual psychiatric/mental health provider in Santa Ana, California, licensed in California (95033035) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Jeffrey Matthew Wilson Np 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 Jeffrey Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Ana, CA 92707
- Reassigned Medicare billing, California enrollment
- 70 clinicians in this Medicare group
El Segundo, CA 90245
- Reassigned Medicare billing, California enrollment
- 57 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ANA, CA 92707
SANTA ANA, CA 92707
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 Jeffrey Wilson's NPI number?
The NPI number for Jeffrey Wilson is 1801185814. It was assigned to this individual provider in the NPPES registry on March 30, 2011.
Where is Jeffrey Wilson located?
Jeffrey Wilson practices at 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707. The listed phone number is (855) 434-7763.
What is Jeffrey Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jeffrey Wilson enrolled in Medicare?
Yes. Jeffrey 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 Jeffrey Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wilson reassigns Medicare benefits to 2 organizations: Senior Doc Integrated Med, PC (Santa Ana, CA) and Geriatric Support Medical Group PC (El Segundo, CA). 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 Jeffrey 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 Jeffrey Wilson was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Mr. Jeffrey Matthew Wilson, NP · NPI 1801185814
Psychiatric/Mental Health physician in Santa Ana, California. Individual provider, active in the CMS NPPES registry since March 30, 2011.
## Identity
- **NPI:** 1801185814 (Entity type: Individual)
- **Enumerated:** March 30, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95033035 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5 HUTTON CENTRE DR STE 950, Santa Ana, CA 92707-8714
- **Phone:** (855) 434-7763
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Senior Doc Integrated Med, PC (NPI 1396526026, Santa Ana, CA); Geriatric Support Medical Group PC (NPI 1548188931, El Segundo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801185814) · Data from the CMS NPPES public registry.