JEANNIE WILCOX (PA-C) – Physician Assistant, NPI 1386791515

JEANNIE WILCOX (PA-C) is a healthcare provider. based in Wyoming, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601003244 (MI). The NPI Number for JEANNIE WILCOX (PA-C) is 1386791515

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JEANNIE WILCOX (PA-C)
NPI
1386791515
Phone
(616) 828-5727
Address
2093 HEALTH DR SW
Enumeration Date
3 January 2007
Last Update Date
12 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168285727
Graduation Year
1999 (27 years ago)
PAC ID
2567483753
Group Practice PAC ID
9638190812
Professional Enrollment ID
I20051215000478
Address ID
MI495199691WY2093XSWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for JEANNIE WILCOX (PA-C)

  • Health Drive Southwest, Wyoming, Kent County, Michigan, 49518, United States

    #101

    WYOMING, MI 495199691

    Phone: (616) 828-5727

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $285.

Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($204).

Total Amount

$285

General + Research + Ownership

Payments

19

Total payment records

General Amount

$285

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051215000478IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4435$0
99213Established patient office or other outpatient visit, 20-29 minutes2520$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 49519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638190812View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMI

Reviews

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Frequently asked questions

Is JEANNIE WILCOX (PA-C) listed with a National Provider Identifier?
Yes — JEANNIE WILCOX (PA-C) has NPI 1386791515 on file in the registry.
Is JEANNIE WILCOX (PA-C) shown as active in public data?
Registry records indicate JEANNIE WILCOX (PA-C) maintains an active NPI.
What expertise is attributed to JEANNIE WILCOX (PA-C)?
JEANNIE WILCOX (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JEANNIE WILCOX (PA-C) associated with Wyoming?
Public fields place JEANNIE WILCOX (PA-C) around Wyoming, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for JEANNIE WILCOX (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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