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JACOB ALLEN WILSON PMHNP-BC
NPI 1962029165
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Active since July 03, 2020PECOS EnrolledAccepts Medicare Assignment
615 N NEVADA AVE STE 1E, COLORADO SPRINGS, CO 80903(719) 726-1077(719) 960-2933 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Apr 3, 2024, Oct 30, 2023 and 7 more (10 updates tracked since 2020).

About Jacob Allen Wilson Pmhnp-bc NPPES

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

JACOB ALLEN WILSON PMHNP-BC (NPI 1962029165) is an individual psychiatric/mental health provider in Colorado Springs, Colorado, licensed in Colorado (APN.0996156-NP) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962029165
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB ALLEN WILSONCredential: PMHNP-BC
Location Address615 N NEVADA AVE STE 1EColorado Springs, CO 80903-1075
Mailing Address615 N Nevada Ave Ste 1eColorado Springs, CO 80903-1075 · (719) 726-1077 · Fax (719) 960-2933
Phone(719) 726-1077
Fax(719) 960-2933
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 3, 2020
Last NPPES UpdateApril 15, 202610 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1962029165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · APN.0996156-NP
615 N NEVADA AVE STE 1E, Colorado Springs, CO 80903
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Other Identifiers 1

Medicaid9000191072CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Allen Wilson Pmhnp-bc 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 ID1153738398
PECOS Enrollment IDI20210406000175
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services14 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
25 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80903 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Jacob Wilson's NPI number?

The NPI number for Jacob Wilson is 1962029165. It was assigned to this individual provider in the NPPES registry on July 3, 2020.

Where is Jacob Wilson located?

Jacob Wilson practices at 615 N Nevada Ave Ste 1E, Colorado Springs, CO 80903. The listed phone number is (719) 726-1077.

What is Jacob Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Wilson enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Wilson accept?

Health plans from Providence Health Plan list Jacob Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Wilson was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.