Individual provider Active NPI

Jean Ellen Wilson, D.O.

  • Family Medicine Physician
  • Hubbard, OH
National Provider Identifier
1700866266
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34011096 Issued in OH
Practice address
880 W Liberty St
Hubbard, OH 44425-1753
Phone
(330) 269-1934
Fax
(330) 568-4267
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 OS 012551 PA
Family Medicine Physician 207Q00000X 34011096 OH Primary

Addresses

Primary practice location

880 W Liberty St
Hubbard, OH 44425-1753

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5000

Other practice location 1

315 S Erie St Ste E
Mercer, PA 16137-1555
Phone (724) 662-4155

Other practice location 2

2425 Garden Way Ste 102
Hermitage, PA 16148-5215
Phone (724) 981-1777

Other practice location 3

62 Strawbridge Ave
Sharon, PA 16146-3234
Phone (724) 347-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140722002720 OH Practitioner - Family Practice 2466479555 Reassigns benefits to 2 organizations
I20250305000175 PA Practitioner - Family Practice 2466479555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care ServicesGroup PAC ID 0244452258, 32 clinicians

Practice addresses (Care Compare)

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316-4203
Phone (814) 373-4298

62 Strawbridge Ave
Sharon, PA 16146-3234
Phone (724) 347-2955

880 W Liberty St
Hubbard, OH 44425-1753
Phone (330) 269-1934

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34011096OHMDFamily Medicine Physician
OS 012551PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Primary Care Services Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Meadville Medical Center Current Accepting new patients
Meadville Medical Center CurrentSince Jun 23, 2025 Accepting new patients
Meadville Medical Center Family Medicine CurrentSince Jun 23, 2025 Accepting new patients
Steward Medical Group Inc. Family Medicine Current Accepting new patients
Meadville Physician Services Family Medicine Past Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

7264 Warren Sharon Rd
Brookfield, OH 44403
Phone (330) 448-3060

55 Hall Ave
Hubbard, OH 44425
Phone (330) 534-1978

880 W Liberty St
Hubbard, OH 44425
Phone (330) 269-1916

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298

2425 Garden Way
Ste 102
Hermitage, PA 16148
Phone (724) 347-0700

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

18201 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 333-5060

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

315 S Erie St
Ste E
Mercer, PA 16137
Phone (724) 458-0511

62 Strawbridge Ave
Sharon, PA 16146
Phone (724) 347-2955

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

Organizations & group practices 8

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 7

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1700866266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W LIBERTY ST",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251753",
            "telephone_number": "330-269-1934",
            "fax_number": "330-568-4267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Erie St Ste E",
            "address_purpose": "LOCATION",
            "city": "Mercer",
            "state": "PA",
            "postal_code": "161371555",
            "country_code": "US",
            "telephone_number": "724-662-4155",
            "fax_number": "724-662-2352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Garden Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161485215",
            "country_code": "US",
            "telephone_number": "724-981-1777",
            "fax_number": "724-342-2879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 STRAWBRIDGE AVE",
            "address_purpose": "LOCATION",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463234",
            "country_code": "US",
            "telephone_number": "724-347-2955",
            "fax_number": "724-347-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEAN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS 012551",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

Verify at the official NPI Registry.