JESSICA LYNN WILSON CNP
NPI 1942889209
Nurse Practitioner - Primary Care in Glenwood, MN

Active since April 05, 2021PECOS Enrolled
10 4TH AVE SE, GLENWOOD, MN 56334(320) 634-4521(320) 634-2253 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Lynn Wilson Cnp NPPES

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

JESSICA LYNN WILSON CNP (NPI 1942889209) is an individual primary care provider in Glenwood, Minnesota, licensed in Minnesota (8121) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942889209
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJESSICA LYNN WILSONCredential: CNP
Location Address10 4TH AVE SEGlenwood, MN 56334-1820
Mailing Address10 4th Ave SeGlenwood, MN 56334-1820 · (320) 634-4521 · Fax (320) 634-2253
Fax(320) 634-2253
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1942889209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MN · 8121
10 4TH AVE SE, Glenwood, MN 56334

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

Critical Access
10 4TH AVE SE
Glenwood, MN 56334
  • Reassigned Medicare billing, Minnesota 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 56334 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Nurse Practitioner (Family)
10 4TH AVE SE
GLENWOOD, MN 56334
Physical Therapist
10 4TH AVE SE
GLENWOOD, MN 56334
Speech-Language Pathologist
10 4TH AVE SE
GLENWOOD, MN 56334
Hospice Care, Community Based
10 4TH AVE SE
GLENWOOD, MN 56334
Nurse Practitioner (Family)
10 4TH AVE SE
GLENWOOD, MN 56334
Internal Medicine
10 4TH AVE SE
GLENWOOD, MN 56334
Physician Assistant
10 4TH AVE SE
GLENWOOD, MN 56334
Non-Pharmacy Dispensing Site
10 4TH AVE SE
GLENWOOD, MN 56334

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 1942889209. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Jessica Wilson located?

Jessica Wilson practices at 10 4th Ave SE, Glenwood, MN 56334. The listed phone number is (320) 634-4521.

What is Jessica Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

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 Glacial Ridge Hospital District (Glenwood, MN). 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 April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.