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JENNIFER DAYE WILSON FNP
NPI 1902784317
Registered Nurse in Las Vegas, NV

Active since August 25, 2025PECOS EnrolledAccepts Medicare Assignment
5112 BROOKMERE DR, LAS VEGAS, NV 89130(801) 792-6033 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Daye Wilson Fnp NPPES

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

JENNIFER DAYE WILSON FNP (NPI 1902784317) is an individual registered nurse in Las Vegas, Nevada, licensed in Utah (5483944-3102) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902784317
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJENNIFER DAYE WILSONCredential: FNP
Location Address5112 BROOKMERE DRLas Vegas, NV 89130-5220
Mailing Address5112 Brookmere DrLas Vegas, NV 89130-5220 · (801) 792-6033
Phone(801) 792-6033
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 24, 2025
✔ NPI 1902784317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in UT · 5483944-3102
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
5112 BROOKMERE DR, Las Vegas, NV 89130
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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 and accepts Medicare assignment

Jennifer Daye Wilson Fnp 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.

PECOS PAC ID6204312309
PECOS Enrollment IDI20260108001916
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 Reassignments

3

Medicare enrollment records show Jennifer Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrity Medical And Wounds LLC
4.6 mi
Nurse Practitioner
801 S RANCHO DR STE B2
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 5 clinicians in this Medicare group
NPI 1518653450 (702) 331-4808
Toetal Health Solutions Nv PC
5.1 mi
General Practice
222 S RAINBOW BLVD STE 114
Las Vegas, NV 89145
  • Reassigned Medicare billing, Nevada enrollment
  • 8 clinicians in this Medicare group
NPI 1902772841 (702) 956-3750
Toe-Tal Family Footcare
5.2 mi
Primary Podiatric Medicine
3317 SALMON CREEK DR
Las Vegas, NV 89129
  • Reassigned Medicare billing, Nevada enrollment
  • 10 clinicians in this Medicare group
NPI 1821749615 (702) 956-3750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1902784317. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 5112 Brookmere Dr, Las Vegas, NV 89130. The listed phone number is (801) 792-6033.

What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Jennifer Wilson enrolled in Medicare?

Yes. Jennifer 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 Jennifer Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wilson reassigns Medicare benefits to 3 organizations: Integrity Medical And Wounds LLC (Las Vegas, NV), Toetal Health Solutions Nv PC (Las Vegas, NV) and Toe-Tal Family Footcare (Las Vegas, NV). 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 Jennifer 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 Jennifer Wilson was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.