Active NPI
Jennifer Ann Wilson, MD
- Family Medicine Physician
- Napa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A86620
- Practice address
- 300 Hartle CT
Napa, CA 94559-4078 - Phone
- (707) 254-1775
- Fax
- (707) 251-1779
- NPI assigned
- Aug 1, 2006
- Last updated
- Feb 27, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A86620 | CA | Primary |
Addresses
Primary practice location
300 Hartle CT
Napa, CA 94559-4078
Mailing address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone (707) 254-1770
Other practice location 1
1141 Pear Tree Lane
Suite 100
Napa, CA 94558
Phone (707) 254-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86620 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients |
Locations
1327 Berry St
Calistoga, CA 94515
Phone (707) 254-1775
1100 Trancas St
Ste 300
Napa, CA 94558
Phone (707) 257-4084
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
300 Hartle Ct
Napa, CA 94559
Phone (707) 254-1775
Interoperability endpoints
- jwilson676156@direct.ochin.org
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1700976503
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1245043165
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1497130280
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1275257826
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1316429558
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1447687330
-
- Federally Qualified Health Center (FQHC)
- American Canyon, CA
- NPI 1508573379
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1710087515
-
- Federally Qualified Health Center (FQHC)
- Calistoga, CA
- NPI 1760660831
-
- Community/Retail Pharmacy
- Napa, CA
- NPI 1790342251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1558378984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN STE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586485",
"telephone_number": "707-254-1770",
"fax_number": "707-254-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HARTLE CT",
"city": "NAPA",
"state": "CA",
"postal_code": "945594078",
"telephone_number": "707-254-1775",
"fax_number": "707-251-1779"
}
],
"practiceLocations": [
{
"address_1": "1141 Pear Tree Lane",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "94558",
"country_code": "US",
"telephone_number": "707-254-1770",
"fax_number": "707-251-2993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A86620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.