Jessica Jill Wilson-Chan, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS11030 Issued in FL

Practice address

3284 Cove Bend Dr
Tampa, FL 33613-2752

Phone

(813) 586-0618

Fax

(813) 212-5367

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

General PracticeAlso: Addiction Medicine

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Jessica J Wilson Chan D O PA

  • General Practice Physician
  • Tampa, FL
  • NPI 1457995953
  NPD Authorized official
• Physical Medicine Center

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1902810963
  NPD
• Dr. Jeffrey T. Farrell, P.a.

  • Chiropractor
  • Tampa, FL
  • NPI 1699026203
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1306153606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 RICHMOND PLACE DR APT 124",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471725",
            "telephone_number": "702-885-7789",
            "fax_number": "813-212-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-586-0618",
            "fax_number": "813-212-5367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18002 Richmond Place Dr Apt 124",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336471725",
            "country_code": "US",
            "telephone_number": "702-885-7789",
            "fax_number": "813-212-5367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-CHAN",
        "first_name": "JESSICA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS11030",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "OS11030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd S Wills, MD
• Hillary Paige Willy, RDN
• Lucas Willyard
• Wilson Chiropractic Therapy PLLC
• Amanda Asmita Wilson Morris, MD
• Alexis Caitlyn Wilson
• Anna Wilson
• Axel W Wilson, MD
• Brian Andrew Wilson, PH.D.
• Catharine Ellen Wilson

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.