JOSCELYN R. WILSON M.A.
NPI 1871840603
Psychologist in Portland, OR

Active since August 10, 2012PECOS Enrolled
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266(503) 258-4200 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joscelyn R. Wilson M.a. NPPES

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

JOSCELYN R. WILSON M.A. (NPI 1871840603) is an individual psychologist in Portland, Oregon, licensed in California (29062) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871840603
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJOSCELYN R. WILSONCredential: M.A.
Location Address9911 SE MOUNT SCOTT BLVDPortland, OR 97266-6302
Mailing Address9911 Se Mount Scott BlvdPortland, OR 97266-6302 · (503) 258-4200
Sole ProprietorYes
Enumeration DateAugust 10, 2012
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1871840603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 29062
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
9911 SE MOUNT SCOTT BLVD, Portland, OR 97266

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joscelyn R. Wilson M.a. 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 Joscelyn Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • 5,228 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.

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.

Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Student in an Organized Health Care Education/Training Program
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Registered Nurse (General Practice)
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Social Worker (Clinical)
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266

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 Joscelyn Wilson's NPI number?

The NPI number for Joscelyn Wilson is 1871840603. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Joscelyn Wilson located?

Joscelyn Wilson practices at 9911 SE Mount Scott Blvd, Portland, OR 97266. The listed phone number is (503) 258-4200.

What is Joscelyn Wilson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Joscelyn Wilson enrolled in Medicare?

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

Which organization bills Medicare for Joscelyn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joscelyn Wilson reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, CA). 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 Joscelyn 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 Joscelyn Wilson was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.