Active NPI
Jill N Wilkins
- Physician Assistant
- Hagerstown, MD
National Provider Identifier
1194280032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11116 Medical Campus Rd
Hagerstown, MD 21742-6710 - Phone
- (240) 422-6698
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Emergency Medicine Physician | 207P00000X | C07460 | MD |
Addresses
Primary practice location
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Mailing address
567 Michelle Dr
Hedgesville, WV 25427-5981
Phone (240) 422-6698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C07460 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
220 Campus Blvd
Ste 320
Winchester, VA 22601
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Interoperability endpoints
- jwilkins643050@valleyhealth.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1093322257
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
- Neurology Physician
- Winchester, VA
- NPI 1407668569
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1194280032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 MICHELLE DR",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254275981",
"telephone_number": "240-422-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "240-422-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "JILL",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "C07460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.