Individual provider Active NPI

Jennifer Zelvis Wilson, M.D.

  • Hospitalist Physician
  • Lakeland, FL
National Provider Identifier
1285963439
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME113052 Issued in FL
Practice address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone
(863) 687-1321
Fax
(863) 603-6534
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME113052 FL
Hospitalist Physician 208M00000X ME113052 FL Primary

Addresses

Primary practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

1324 Lakeland Hills Blvd
Managed Care Dept
Lakeland, FL 33805-4543

Other practice location 1

12271 US Highway 301 N
Parrish, FL 34219-8410
Phone (941) 776-4050

Other names 1

  • Dr. Jennifer Zelvis Ashe Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120723000206 FL Practitioner - Family Practice 2860658796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

Hospital & facility affiliations

  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
64.08
Promoting interoperability
98
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113052FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Mar 27, 2025 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Apr 1, 2014 Accepting new patients
MCR Health, Inc. Family Medicine CurrentSince Mar 27, 2025 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients

Locations

1110 E Gibson St
Bldg A
Arcadia, FL 34266
Phone (863) 494-4433

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

5108 15th St E
Ste 111
Bradenton, FL 34203
Phone (941) 210-7942

712 39th St W
Bradenton, FL 34205
Phone (941) 748-4602

6040 State Road 70 E
Unit A
Bradenton, FL 34203
Phone (941) 316-8200

515 63rd Ave E
Bradenton, FL 34203
Phone (941) 304-3960

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

1324 Lakeland Hills Blvd
Ofc
Lakeland, FL 33805
Phone (863) 687-1177

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Interoperability endpoints

  • Direct secure messaging: jennifer.wilson.2@11352.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1285963439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "address_2": "MANAGED CARE DEPT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1321",
            "fax_number": "863-603-6534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12271 US Highway 301 N",
            "address_purpose": "LOCATION",
            "city": "Parrish",
            "state": "FL",
            "postal_code": "342198410",
            "country_code": "US",
            "telephone_number": "941-776-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "ZELVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113052",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME113052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ASHE",
            "middle_name": "ZELVIS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.