Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAQUELYN MICHELLE WILSON PA-C
NPI 1982535498
Family Medicine in Brandon, MS

Q: What is Jaquelyn Wilson's NPI number?

The NPI number for Jaquelyn Wilson is 1982535498. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Q: What is Jaquelyn Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaquelyn Wilson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 May 26, 2026PECOS Enrolled

106 LAKE VISTA PL, BRANDON, MS 39047(601) 919-2924 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, May 26, 2026 (2 updates tracked since 2026).

On this page

About Jaquelyn Michelle Wilson Pa-c NPPES

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

JAQUELYN MICHELLE WILSON PA-C (NPI 1982535498) is an individual family medicine provider in Brandon, Mississippi, licensed in Mississippi (PA01048) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1982535498

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJAQUELYN MICHELLE WILSONCredential: PA-C

Location Address106 LAKE VISTA PLBrandon, MS 39047-6384

Mailing Address1075 Centre Pointe DrBrandon, MS 39042-9698 · (601) 832-9702

Phone(601) 919-2924

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 26, 2026

Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1982535498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · PA01048

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

106 LAKE VISTA PL, Brandon, MS 39047

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaquelyn Michelle Wilson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163988254

PECOS Enrollment IDI20260729001911

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39047 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 3

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

MEA PRIMARY CARE PLUS, LLC

Family Medicine

106 LAKE VISTA PL
BRANDON, MS 39047

Rankin County (601) 919-2924

SARA ELIZABETH COURTNEY DNP, FNP-C

Nurse Practitioner (Primary Care)

106 LAKE VISTA PL
BRANDON, MS 39047

Rankin County (601) 919-2924

QUAD INTERMED COMPANY LLC

Clinic/Center

106 LAKE VISTA PL
BRANDON, MS 39047

Rankin County (601) 919-2924

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 Jaquelyn Wilson's NPI number?

The NPI number for Jaquelyn Wilson is 1982535498. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Jaquelyn Wilson located?

Jaquelyn Wilson practices at 106 Lake Vista Pl, Brandon, MS 39047. The listed phone number is (601) 919-2924.

What is Jaquelyn Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jaquelyn Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jaquelyn Wilson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.