Jessica Burley Wilson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06190911 Issued in AL

Practice address

4294 Lomac St
Montgomery, AL 36106-3604

Phone

(334) 274-9000

NPI assigned

Jun 24, 2019

Sex

Female

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 AL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians

Health Care Authority for Baptist Health, an Affiliate of UabhsGroup PAC ID 8426076670, 270 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Prattville, AL, CCN 017055
• Amedisys Home Health of Montgomery Home health agency, Montgomery, AL, CCN 017319
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Merit-based Incentive Payment System (MIPS)

Final score

83 of 100Reported as group

Quality

64.43

Promoting interoperability

100

Improvement activities

40

Cost

78.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  Medicare reassignment Care Compare group NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1033534524
  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279
  NPD
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  NPD (past)

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

• Amedisys Alabama, LLC

  • Home Health Agency
  • Montgomery, AL
  • NPI 1174581474
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Prattville, AL
  • NPI 1134158843
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1518528298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 TODD RD",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360224639",
            "telephone_number": "334-657-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 LOMAC ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063604",
            "telephone_number": "334-274-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "BURLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F06190911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Brooke Wilson, CRNP
• Heather Wilson
• Heather E Wilson
• Herbert Skipper Wilson, DMD
• Jadie Wilson, NP
• Karen Anita Wilson
• Kristin Marie Wilson, CRNA
• Lashunda Wilson, LPC
• Latrelle Zorn Wilson, MSC CCC A
• Lori S Wilson, DDS

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.