DR. JEAN ELLEN WILSON (D.O.) – Family Medicine Physician, NPI 1700866266
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for DR. JEAN ELLEN WILSON (D.O.)
315 S Erie St Ste E
Mercer, PA 161371555
Phone: (724) 662-4155
Fax: (724) 662-2352
Type: Location
880, West Liberty Street, Pine Lake Estates, Hubbard, Trumbull County, Ohio, 44425, United States
HUBBARD, OH 444251753
Phone: (330) 269-1934
Fax: (330) 534-7654
Type: Mailing
2425 Garden Way Ste 102
Hermitage, PA 161485215
Phone: (724) 981-1777
Fax: (724) 342-2879
Type: Location
62 STRAWBRIDGE AVE
SHARON, PA 161463234
Phone: (724) 347-2955
Fax: (724) 347-4664
Type: Location
1034 GROVE ST
MEADVILLE, PA 163352945
Phone: (814) 333-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $419.
Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Kiniksa Pharmaceuticals International, plc ($98).
Total Amount
$419
General + Research + Ownership
Payments
24
Total payment records
General Amount
$419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-03-05
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 |
|---|---|---|---|---|
| I20140722002720 | I | Family Practice | OH | TBD |
| I20250305000175 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 357 | 182 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 113 | 113 | $0 |
| G0008 | Administration of influenza virus vaccine | 41 | 41 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 40 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 21 | $0 |
Insurance plans in this area (ZIP 16137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | PA |
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