Jessica Lynn Wilson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

295574 Issued in AZ

Practice address

896 S Cook Rd
Safford, AZ 85546-7526

Phone

(928) 428-4698

NPI assigned

Sep 4, 2023

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 AZ

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, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Fatty Liver Clinic PLLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1578374948
  Medicare reassignment NPD
• Liver Institute PLLC

  • Hepatology Physician
  • Tucson, AZ
  • NPI 1245627579
  NPD (past)

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1841076072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 S COOK RD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855467526",
            "telephone_number": "928-322-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 S COOK RD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855467526",
            "telephone_number": "928-428-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "295574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyndle Whitmer
• Jared M Wilhelm, LPC, MC
• Williams Dentistry PLLC
• Stacy Rene Williams, D.M.D.
• Tamila Willis, FNP-C
• Sarah Dawn Wilson, P. A. C.
• Loni Kay Woodall-Sanders, M.S., CCC-SLP
• Kyla Woodward, RDH
• Joel G Wright, M.D.
• Tianna Wright

• Family Nurse Practitioner in Safford, AZ
• Providers in Safford, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.