JACQUELINE WILSON (FNP) – Family Nurse Practitioner, NPI 1043625502
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JACQUELINE WILSON (FNP)
405 S. MAIN
SUITE 100
MONAHANS, TX 79756
Phone: (432) 943-7537
Fax: (432) 943-4321
Type: Mailing
405 S MAIN AVE
SUITE 100
MONAHANS, TX 797564506
Phone: (432) 943-7537
Fax: (432) 943-4321
Type: Location
5929 BALCONES DR STE 200
AUSTIN, TX 787314280
Phone: (512) 550-1800
Type: Mailing
940 KELLER PKWY STE 250
KELLER, TX 762483657
Phone: (972) 716-3922
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: GENZYME CORPORATION ($69).
Total Amount
$168
General + Research + Ownership
Payments
9
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $69 |
| AstraZeneca Pharmaceuticals LP | $38 |
| Optinose US, Inc. | $34 |
| Amgen Inc. | $13 |
| Regeneron Healthcare Solutions, Inc. | $13 |
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: 2026-02-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260209000332 | I | Nurse Practitioner | OK | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 780 | 13 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 430 | 29 | $0 |
| 95117 | Professional service for multiple injections of allergen | 228 | 58 | $0 |
| 95115 | Professional service for single injection of allergen | 83 | 14 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 16 | 15 | $0 |
Insurance plans in this area (ZIP 79756)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | OK | |
| Family Practice | OK | |
| Family Practice | CA | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK |
Reviews
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