Jessica Wilson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34012758 Issued in OH

Practice address

109 Plaza Dr
Saint Clairsville, OH 43950-7713

Phone

(740) 695-2090

Fax

(740) 695-4116

NPI assigned

May 15, 2014

Last updated

Jan 22, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

West Virginia University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
• Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.wilson@tpg.eclinicaldirectplus.com

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.

• Mercy Professional Care, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1902827876

  Family Medicine

  Medicare reassignment NPD

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

• Barnesville Hospital Association, Inc.

  dba Barnesville Hospital

  • Critical Access Hospital
  • Barnesville, OH
  • NPI 1235135450
  Care Compare affiliation
• Trinity Hospital Holding Company

  dba Acute Care West

  • General Acute Care Hospital
  • Steubenville, OH
  • NPI 1285715144
  Care Compare affiliation
• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1073924742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVENUE",
            "address_2": "MSO PHYSICIAN BILLING",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7597",
            "fax_number": "740-283-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507713",
            "telephone_number": "740-695-2090",
            "fax_number": "740-695-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34012758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haven Williams
• Stephen Lawrence Williams
• Twila Williams, MA
• Emily A Williamson
• Mark Willow
• Jane A Wine
• John Winsch, MD
• Olivia Winters, NP-C
• Darla Winzenreid
• Laura Wodarcyk, MA

• Family Medicine Physician in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.