JODY L WILKINS (PA) – Physician Assistant, NPI 1114989050

JODY L WILKINS (PA) is a healthcare provider. based in Wausau, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 15-00914 (KS). The NPI Number for JODY L WILKINS (PA) is 1114989050

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JODY L WILKINS (PA)
NPI
1114989050
Phone
Not provided
Address
3000 WESTHILL DR
Enumeration Date
5 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152415400
Graduation Year
2004 (22 years ago)
PAC ID
3375552615
Group Practice PAC ID
1052223625
Professional Enrollment ID
I20070604000487
Address ID
WI544764139WE4005XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

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Provider Addresses for JODY L WILKINS (PA)

  • Wausau Oral Surgery & Dental Implant Center, S.C., 3000, Westhill Drive, Wausau, Marathon County, Wisconsin, 54401, United States

    SUITE 100

    WAUSAU, WI 544013795

    Phone:

    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: 2007-06-04

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
I20070604000487IPhysician AssistantWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes581143$0
99239Hospital discharge day management, more than 30 minutes126119$0
View full utilization report →

Insurance plans in this area (ZIP 54401)

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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: 1052223625View full group profile
NameSpecialtyState
Nurse PractitionerWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerIL
Nurse PractitionerWI
-NC
-WI
N E U R O L O G YIL
-PA
-WI
-WI

Reviews

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Frequently asked questions

Does JODY L WILKINS (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JODY L WILKINS (PA) uses 1114989050.
Does the file indicate JODY L WILKINS (PA) is practicing under active NPI?
Directory data currently reports JODY L WILKINS (PA) as active.
What healthcare role does JODY L WILKINS (PA) hold?
Scheduling teams often label JODY L WILKINS (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JODY L WILKINS (PA) based?
JODY L WILKINS (PA) is tied to Wausau, Wisconsin in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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