JILL MARIE WILCKEN – Family Nurse Practitioner, NPI 1306456256

JILL MARIE WILCKEN is a healthcare provider. based in Saint cloud, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 7600 (MN). The NPI Number for JILL MARIE WILCKEN is 1306456256

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JILL MARIE WILCKEN
NPI
1306456256
Phone
(320) 469-4771
Address
26122 80TH AVE
Enumeration Date
5 August 2020
Last Update Date
5 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202564231
Graduation Year
2020 (6 years ago)
PAC ID
4082034004
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20201013002546
Address ID
MN563521043ME525XXWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JILL MARIE WILCKEN

  • 26122 80TH AVE

    SAINT CLOUD, MN 563019836

    Phone: (320) 469-4771

    Type: Mailing

  • 525 MAIN ST W

    MELROSE, MN 563521043

    Phone: (320) 256-4228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Inari Medical, Inc. ($16).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-10-13

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
I20201013002546INurse PractitionerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56301)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JILL MARIE WILCKEN?
Save NPI 1306456256 if you need a stable reference for JILL MARIE WILCKEN.
Does this profile mean JILL MARIE WILCKEN is currently active?
Yes — JILL MARIE WILCKEN appears active in the national provider directory.
Can you summarize JILL MARIE WILCKEN's specialty in plain language?
Clinically, the directory lists JILL MARIE WILCKEN with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JILL MARIE WILCKEN practice in Minnesota?
You will see Saint Cloud, Minnesota on file for JILL MARIE WILCKEN alongside any extra practice locations.
Is JILL MARIE WILCKEN a real provider?
This page reflects official NPPES data for NPI 1306456256. Always confirm identity and privileges with the practice and licensing boards.

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