ALPHONSO WILSON
NPI 1962039958
Internal Medicine in Jonesboro, AR

Q: What is Alphonso Wilson's NPI number?

The NPI number for Alphonso Wilson is 1962039958. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Alphonso Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Alphonso Wilson was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 27, 2020PECOS EnrolledAccepts Medicare Assignment

4800 E JOHNSON AVE, JONESBORO, AR 72405(870) 936-1000 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2022, Mar 27, 2020 (2 updates tracked since 2020).

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About Alphonso Wilson NPPES

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

ALPHONSO WILSON (NPI 1962039958) is an individual internal medicine provider in Jonesboro, Arkansas, licensed in Florida (156192) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains a secondary practice location in Boca Raton.

NPPES Registry Identity

NPI1962039958

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameALPHONSO WILSON

Location Address4800 E JOHNSON AVEJonesboro, AR 72405-8413

Mailing Address608 Sealofts Dr Apt 202Boynton Beach, FL 33426-3739 · (904) 254-0812

Phone(870) 936-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateJune 26, 20232 updates tracked since enumeration

NPPES CertifiedJune 26, 2023

✔ NPI 1962039958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · 156192✔ Licensed in AR · E-16711

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4800 E JOHNSON AVE, Jonesboro, AR 72405

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Secondary Practice Location 1

Location 1670 Glades Rd Ste 400Boca Raton, FL 33431-6464 · Phone (561) 955-2570 · Fax (561) 955-2572

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

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

Alphonso Wilson 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 ID8527489731

PECOS Enrollment IDI20240705002070, I20250328003254

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

Medicare enrollment records show Alphonso Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Bernards Hospital Inc.

4.2 mi

General Acute Care Hospital

225 E WASHINGTON AVE
Jonesboro, AR 72401

Reassigned Medicare billing, Arkansas enrollment
318 clinicians in this Medicare group

NPI 1396053096 (870) 207-4100

Baptist Health Medical Group Inc

139 mi

Family Medicine

2605 KENTUCKY AVE, SUITE 306
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
967 clinicians in this Medicare group

NPI 1922401611 (270) 415-7653

Pikeville Medical Center Inc.

445 mi

Clinic/Center

148 SUITE A, WHITESBURG PLAZA
Whitesburg, KY 41858

Reassigned Medicare billing, Kentucky enrollment
579 clinicians in this Medicare group

NPI 1801106281 (606) 218-3500

Centracare Clinic

672 mi

Multi-Specialty

16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309

Reassigned Medicare billing, Minnesota enrollment
1,051 clinicians in this Medicare group

NPI 1013104348 (763) 263-7300

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

234 services115 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

125 services121 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

85 services85 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

67 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

27 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72405 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

DR. REFAYAT AHSEN MD

Internal Medicine