Jonathan B Wilson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

334 Issued in NE

Practice address

620 N Diers Ave Ste 100
Grand Island, NE 68803-4985

Phone

(308) 381-0404

NPI assigned

May 31, 2012

Sex

Male

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 NE

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Clinic of Central Nebraska PCGroup PAC ID 2264435569, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jennie M Melham Memorial Medical Center Hospital, Broken Bow, NE, CCN 281365
• CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023
• Callaway District Hospital Hospital, Callaway, NE, CCN 281335

Merit-based Incentive Payment System (MIPS)

Final score

95 of 100Reported as group

Quality

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Foot & Ankle Clinic of Central Nebraska PC

  • Podiatrist
  • Grand Island, NE
  • NPI 1134162910
  Medicare reassignment Care Compare group NPD
• Jennie M Melham Memorial Medical Center Inc

  • Certified Registered Nurse Anesthetist
  • Broken Bow, NE
  • NPI 1366659773
  NPD (past)

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

• Callaway Hospital District

  • Critical Access Hospital
  • Callaway, NE
  • NPI 1740397850
  Care Compare affiliation
• Jennie M Melham Memorial Medical Center Inc

  • Critical Access Hospital
  • Broken Bow, NE
  • NPI 1538232244
  Care Compare affiliation
• Saint Francis Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1982675955
  Care Compare affiliation

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1205197878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5020",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025020",
            "telephone_number": "308-381-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N DIERS AVE STE 100",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034985",
            "telephone_number": "308-381-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Allen Williams
• Paul Ross Williams
• Seth B Williams, APRN
• Kristine Williston, HIS
• Curran Wills
• McKenna Wilson, SLP
• Susan Diane Wilson
• Teddi Wilsonlenon
• Darla J Wilton, APRN
• Cassandra Ann Wing

• Podiatrist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Podiatrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.