JENNIFER L WILSON (PAC) – Physician Assistant, NPI 1861406431
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for JENNIFER L WILSON (PAC)
520, Valley View Drive, Moline, Rock Island County, Illinois, 61265, United States
MOLINE, IL 612656152
Phone: (309) 762-3621
Fax: (309) 762-3690
Type: Location
53rd Avenue, Bettendorf, Scott County, Iowa, 528722, United States
BETTENDORF, IA 527227565
Phone: (563) 322-0971
Fax: (563) 324-0615
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040223001131 | I | Physician Assistant | IL | TBD |
| I20090513000257 | I | Physician Assistant | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 296 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 188 | 178 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 79 | 75 | $0 |
| 73564 | X-ray of knee, 4 or more views | 77 | 69 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 74 | 74 | $0 |
Insurance plans in this area (ZIP 61265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | IA | |
| - | SC | |
| Physical Therapist In Private Practice | IA | |
| - | IA | |
| Orthopedic Surgery | IL | |
| Physical Therapist In Private Practice | IA | |
| Orthopedic Surgery | IA | |
| Physician Assistant | IA | |
| Orthopedic Surgery | IL |
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