JEDEDIAH LARSEN WHEELER DO
NPI 1861796989
Pediatrics in Capitola, CA

Q: What is Jedediah Wheeler's NPI number?

The NPI number for Jedediah Wheeler is 1861796989. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Q: What is Jedediah Wheeler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jedediah Wheeler was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 January 04, 2011PECOS Enrolled

1820 41ST AVE STE D, CAPITOLA, CA 95010(831) 476-3000(831) 476-9009 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jedediah Larsen Wheeler Do NPPES

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

JEDEDIAH LARSEN WHEELER DO (NPI 1861796989) is an individual pediatrics provider in Capitola, California, licensed in California (20A11998) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861796989

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJEDEDIAH LARSEN WHEELERCredential: DO

Location Address1820 41ST AVE STE DCapitola, CA 95010-2516

Mailing Address3400 Data Dr, Attn: Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956

Phone(831) 476-3000

Fax(831) 476-9009

Sole ProprietorNo

Enumeration DateJanuary 4, 2011

Last NPPES UpdateMarch 14, 2018

✔ NPI 1861796989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 20A11998

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1820 41ST AVE STE D, Capitola, CA 95010

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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)

Jedediah Larsen Wheeler 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.

Medicare Billing Reassignment

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

Dignity Health Medical Foundation

1.4 mi

Multi-Specialty

1595 SOQUEL DR STE 400
Santa Cruz, CA 95065

Reassigned Medicare billing, California enrollment
1,191 clinicians in this Medicare group

NPI 1598961245 (831) 475-1111

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 95010 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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 9

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

DR. THERESE TROLAN M.D.

Pediatrics