Individual provider Active NPI

Jessica D Wilson, DO

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1003238338
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3147 Issued in WV
Practice address
2520 Valley Drive
Huntington, WV 25702-1318
Phone
(304) 675-4340
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3147 WV Primary

Addresses

Primary practice location

2520 Valley Drive
Huntington, WV 25702-1318

Mailing address

2520 Valley Dr
Point Pleasant, WV 25550-2031
Phone (304) 675-4340

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511002081 WV Practitioner - Family Practice 1759668189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Point Pleasant Physician Billing ServicesGroup PAC ID 3375538184, 36 clinicians

Practice addresses (Care Compare)

2420 Jefferson Ave
Point Pleasant, WV 25550-1528
Phone 30467543401249

Hospital & facility affiliations

  • Rivers Health Hospital, Point Pleasant, WV, CCN 510012
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Rivers Health Nursing home, CCN 51U012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3147WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Point Pleasant Physician Billing Services CurrentSince Apr 1, 2017 Accepting new patients
Pleasant Valley Hospital, Inc. Past Accepting new patients

Locations

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

2420 Jefferson Ave
Pt Pleasant, WV 25550
Phone (304) 675-6090

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • Direct secure messaging: jessica.wilson@pvhhealth.direct.wvhin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1003238338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255502031",
            "telephone_number": "304-675-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021318",
            "telephone_number": "304-675-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS edMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.