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JESSICA LYNN WILSON NP
NPI 1841076072
Nurse Practitioner - Family in Safford, AZ

Active since September 04, 2023PECOS Enrolled
896 S COOK RD, SAFFORD, AZ 85546(928) 428-4698 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Lynn Wilson Np NPPES

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

JESSICA LYNN WILSON NP (NPI 1841076072) is an individual family provider in Safford, Arizona, licensed in Arizona (295574) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841076072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA LYNN WILSONCredential: NP
Location Address896 S COOK RDSafford, AZ 85546-7526
Mailing Address896 S Cook RdSafford, AZ 85546-7526 · (928) 322-6568
Phone(928) 428-4698
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 4, 2023
✔ NPI 1841076072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 295574
896 S COOK RD, Safford, AZ 85546
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Wilson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729571419
PECOS Enrollment IDI20251202001253
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fatty Liver Clinic PLLC
90 mi
Multi-Specialty
3238 E SPEEDWAY BLVD
Tucson, AZ 85716
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1578374948 (515) 822-5585

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 85546 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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 4

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

DR. JESSE ROBERT COONS DO
Family Medicine
896 S COOK RD
SAFFORD, AZ 85546
Graham County (928) 428-4698
MR. TOBY MARSHALL UNDERWOOD PHYSICIAN ASSISTANT
Physician Assistant (Medical)
896 S COOK RD
SAFFORD, AZ 85546
Graham County (928) 428-4698
MRS. KELSEY LYNN CROSBY FNP-C
Nurse Practitioner
896 S COOK RD
SAFFORD, AZ 85546
Graham County (575) 574-2218
PHILIP LUCAS
Dentist
896 S COOK RD
SAFFORD, AZ 85546
Graham County (928) 428-4698

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 1841076072. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Jessica Wilson located?

Jessica Wilson practices at 896 S Cook Rd, Safford, AZ 85546. The listed phone number is (928) 428-4698.

What is Jessica Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Wilson enrolled in Medicare?

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

Which organization bills Medicare for Jessica Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wilson reassigns Medicare benefits to Fatty Liver Clinic PLLC (Tucson, AZ). The 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.

When was this NPI record last updated?

The NPPES record for Jessica Wilson was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.