Individual provider Active NPI

Jocelyn Mary-Estelle Wilson, M.D.

  • Family Medicine Physician
  • Kettering, OH
National Provider Identifier
1902241904
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.151845 Issued in OH
Practice address
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone
(937) 298-7351
Fax
(937) 298-9458
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 Q6923 TX
Family Medicine Physician 207Q00000X 35.151845 OH Primary

Addresses

Primary practice location

4441 Far Hills Ave
Kettering, OH 45429-2405

Mailing address

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7351

Other practice location 1

7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 761-4441

Other practice location 2

601 Clara Barton Blvd
Suite 340
Garland, TX 75042-5738
Phone (972) 272-6561

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jwilson216365@direct.sw.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address jwilson935863@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20241127003075 OH Practitioner - Family Practice 7315239993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7351

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Jan 6, 2025 Accepting new patients

Locations

4441 Far Hills Ave
Kettering, OH 45429
Phone (937) 298-7351

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 1

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 4

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1902241904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292405",
            "telephone_number": "937-298-7351",
            "fax_number": "937-298-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292405",
            "telephone_number": "937-298-7351",
            "fax_number": "937-298-9458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Fish Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767101031",
            "country_code": "US",
            "telephone_number": "254-761-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Clara Barton Blvd",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750425738",
            "country_code": "US",
            "telephone_number": "972-272-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOCELYN",
        "middle_name": "MARY-ESTELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6923",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.151845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilson216365@direct.sw.org",
            "affiliation": "N",
            "address_1": "7700 Fish Pond Rd",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767101031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "4441 Far Hills Ave",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454292405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilson935863@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4441 Far Hills Ave",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454292405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.