JESSICA WILSON (DC) – Chiropractor, NPI 1780433946

JESSICA WILSON (DC) is a healthcare provider. based in Fife, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. DC.5071DC (SC). The NPI Number for JESSICA WILSON (DC) is 1780433946

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA WILSON (DC)
NPI
1780433946
Phone
(253) 922-0450
Address
2026 54TH AVE E
Enumeration Date
17 May 2024
Last Update Date
5 June 2025

Doctor Profile

Medical School Name
SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Secondary Phone
2539220450
Graduation Year
2024 (2 years ago)
PAC ID
7315460409
Group Practice PAC ID
1052588555
Professional Enrollment ID
I20250331000162
Address ID
WA984241904FI2026XEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:2State licenses:2Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for JESSICA WILSON (DC)

  • 2026 54TH AVE E

    FIFE, WA 984241904

    Phone: (253) 922-0450

    Fax: (253) 926-1720

    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)

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: 2025-03-31

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
I20250331000162IChiropracticWATBD

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 98424)

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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: 1052588555View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CMN
-CA

Reviews

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Frequently asked questions

How do payers reference JESSICA WILSON (DC)?
For JESSICA WILSON (DC), use NPI 1780433946 as the unique 10-digit identifier.
Is there an active status for JESSICA WILSON (DC)?
For scheduling context, JESSICA WILSON (DC) is shown as active in the registry.
What area of care is associated with JESSICA WILSON (DC)?
JESSICA WILSON (DC)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Washington is JESSICA WILSON (DC) registered?
Use Fife, Washington as the headline location for JESSICA WILSON (DC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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