Jacqueline Wilson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125844 Issued in TX

Practice address

940 Keller Pkwy Ste 250
Keller, TX 76248-3657

Phone

(972) 716-3922

NPI assigned

Jun 24, 2014

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norman Regional Providers Primary CareGroup PAC ID 5496837718, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norman Regional Hospital, Norman, OK, CCN 370008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Norman Regional Providers Primary Care

  • Family Medicine Physician
  • Norman, OK
  • NPI 1548398274
  Medicare reassignment Care Compare group NPD
• A & D Medical Center, LLC

  dba Family Medical Center of Monahans

  • Rural Health Clinic/Center
  • Monahans, TX
  • NPI 1295793214
  NPD (past)
• Odessa Heart Institute

  • Specialist
  • Odessa, TX
  • NPI 1821131855
  NPD (past)

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

• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1043625502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "512-550-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 KELLER PKWY STE 250",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483657",
            "telephone_number": "972-716-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Williams
• Tanatreon Williams, LMSW
• Briauna Williamson, RBT
• Willow Creek Counseling PLLC
• Alexys Shyanne Wilson-Walker
• Meagan Wilson, MS. SLP CCC
• Melissa Ann Wilson, APRN, FNP-C
• Tionne Wilson
• Alicia Lynn Wimsatt, LPC ASSOCIATE
• With Purpose Health & Wellness Center

• Family Nurse Practitioner in Keller, TX
• Providers in Keller, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.