Individual provider Active NPI

Jacqueline Anne Wilson, ARNP

  • Nurse Practitioner
  • Zearing, IA
National Provider Identifier
1154951556
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A157635 Issued in IA
Practice address
112 W Main St
Zearing, IA 50278-7728
Phone
(641) 487-7800
Fax
(641) 487-7803
NPI assigned
Jan 24, 2020
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A157635 IA Primary

Addresses

Primary practice location

112 W Main St
Zearing, IA 50278-7728

Mailing address

112 W Main St
Zearing, IA 50278-7728
Phone (641) 487-7800

Other practice location 1

920 S Oak St Ste 1
Iowa Falls, IA 50126-2400
Phone (641) 648-7100

Other identifiers 1

IdentifierTypeStateIssuer
A157635OtherIAIOWA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20201105001691 IA Practitioner - Nurse Practitioner 0941610703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellsworth Municipal HospitalGroup PAC ID 2668366311, 16 clinicians

Practice addresses (Care Compare)

112 W Main St
Zearing, IA 50278-7728
Phone (641) 487-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth Municipal Hospital CurrentSince Apr 8, 2024 Accepting new patients
Ellsworth Municipal Hospital CurrentSince Apr 8, 2024 Accepting new patients
Ellsworth Municipal Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

1000 10th Ave
Ackley, IA 50601
Phone (641) 648-7107

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

920 S Oak St
Ste 1
Iowa Falls, IA 50126
Phone (641) 648-4233

Organizations & group practices 3

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.

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": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1154951556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "ZEARING",
            "state": "IA",
            "postal_code": "502787728",
            "telephone_number": "641-487-7800",
            "fax_number": "641-487-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "ZEARING",
            "state": "IA",
            "postal_code": "502787728",
            "telephone_number": "641-487-7800",
            "fax_number": "641-487-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Oak St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Iowa Falls",
            "state": "IA",
            "postal_code": "501262400",
            "country_code": "US",
            "telephone_number": "641-648-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A157635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF NURSING",
            "identifier": "A157635",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zearing, IA

Sources for this page

Verify at the official NPI Registry.