Jessica Ann Wilson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SP1377 Issued in VI

Practice address

9149 Estate Thomas
Paragon BLDG Ste 202
St Thomas, VI 00802-2615

Phone

(340) 776-5507

Fax

(340) 776-7935

NPI assigned

Nov 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VI

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

Internal MedicineAlso: Pediatric Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson Healthcare Consultants LLCGroup PAC ID 8325362304, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roy Lester Schneider Hospital,the Hospital, St Thomas, VI, CCN 480001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwilson@2243.securemail.prognocis.com
• Direct secure messaging: jwilson36951@direct.southcoast.org
• FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

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.

• Wilson Healthcare Consultants LLC

  • Internal Medicine Physician
  • St Thomas, VI
  • NPI 1487043428
  Medicare reassignment Care Compare group NPD Authorized official
• VI Government Hospital and Health Facilities Corp

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047
  Medicare reassignment
• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  NPD (past)

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

• VI Government Hospital and Health Facilities Corp

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047
  Care Compare affiliation

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1154496040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON BLDG STE 202",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-776-5507",
            "fax_number": "340-776-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON BLDG STE 202",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-776-5507",
            "fax_number": "340-776-7935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Page St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027403464",
            "country_code": "US",
            "telephone_number": "508-973-5919",
            "fax_number": "508-973-5916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-23",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "251287",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "52351-20",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "52351-20",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "251287",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VI",
            "license": "SP1377",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "SP1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilson36951@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "101 Page St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027403464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nachet J. Williams-Prince, MS, PA-C
• Jenee L Williams, PTA
• Leslie-Ann Williams, M.D.
• Wilson Healthcare Consultants LLC
• Christopher Ryan Wilson, PT
• Wisdom Waves Chiropractic Center, LLC
• Kathy Christine Witt, CSA
• Julie Anne Wolf, O.D.
• Hillary Woodson Gaskins, M.D.
• Dabney Worth, LCSW

• Internal Medicine Physician in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Internal Medicine Physician in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.