Jacquelyn Ann Wilson, CNP in Audubon, IA - Medicare Nurse Practitioner

Jacquelyn Ann Wilson, CNP is a medicare enrolled "Nurse Practitioner - Family" in Audubon, Iowa. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Audubon County Memorial Hospital and her current practice location is 515 Pacific Ave, Audubon, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 563-2611.

Jacquelyn Ann Wilson is licensed to practice in Iowa (license number A145802) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326414947.

Contact Information

	Jacquelyn Ann Wilson, CNP
	515 Pacific Ave, Audubon, IA 50025-1056
	(712) 563-2611
	(712) 563-5248

Map and Direction

Provider's Profile

Full Name	Jacquelyn Ann Wilson
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	515 Pacific Ave, Audubon, Iowa
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacquelyn Ann Wilson graduated from nursing school in 2015

NPI Data:

NPI Number: 1326414947
Provider Enumeration Date: 08/18/2015
Last Update Date: 11/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1759690738
Enrollment ID: I20190726000529

Medical Identifiers

Medical identifiers for Jacquelyn Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326414947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A145802 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Audubon County Memorial Hospital	Audubon, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Audubon County Memorial Hospital	7618866096	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacquelyn Ann Wilson allows following entities to bill medicare on her behalf.

Entity Name	Cass County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681

Entity Name	Audubon County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730153420 PECOS PAC ID: 7618866096 Enrollment ID: O20040312001260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Ann Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacquelyn Ann Wilson, CNP 402 W Morrow Rd, Sand Springs, OK 74063-6549 Ph: (918) 770-3134	Jacquelyn Ann Wilson, CNP 515 Pacific Ave, Audubon, IA 50025-1056 Ph: (712) 563-2611

Reviews and Comments

Nurse Practitioner Nurses in Audubon, IA

Valerie Ann Riesberg, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611
Mr. Tyler James Williams, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611
George Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-3078
Carol Klocke, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-3078
Hope Jennifer Jensen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Broadway St Ste 2, Audubon, IA 50025 Phone: 855-563-6190 Fax: 855-563-6192
Rae Marie Mcdivitt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611

Jacquelyn Ann Wilson, CNP - Medicare Nurse Practitioner in Audubon, IA