Jackilyn Wilson, NP - Medicare Nurse Practitioner in Dayton, OH

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Jackilyn Wilson, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Dayton, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Health Specialists Inc and her current practice location is 3120 Governors Place Blvd, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 293-1622.

Jackilyn Wilson is licensed to practice in Ohio (license number 019508) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811440092.

Contact Information

Jackilyn Wilson, NP
3120 Governors Place Blvd,
Dayton, OH 45409-1328
(937) 293-1622
(937) 245-6308

Map and Direction




Provider's Profile

Full NameJackilyn Wilson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location3120 Governors Place Blvd, Dayton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jackilyn Wilson attended and graduated from Wright State University Boonshoft School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1811440092
  • Provider Enumeration Date: 07/25/2016
  • Last Update Date: 11/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3476840984
  • Enrollment ID: I20160927003229

Medical Identifiers

Medical identifiers for Jackilyn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811440092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 019508 (Ohio)Primary
363LA2100XNurse Practitioner - Acute Care RN328660 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Miami Valley HospitalDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Health Specialists Inc5597708594390

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackilyn Wilson allows following entities to bill medicare on her behalf.
Entity NameMvhe Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659504785
PECOS PAC ID: 9537066584
Enrollment ID: O20031217000553
Entity NameUpper Valley Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872518
PECOS PAC ID: 5597658138
Enrollment ID: O20040206000038
Entity NameDayton Lung And Sleep Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982621751
PECOS PAC ID: 7113817297
Enrollment ID: O20040319001406
Entity NamePremier Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010
Entity NameSinclair Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063289601
PECOS PAC ID: 9830536911
Enrollment ID: O20240325002978
Entity NameHisey Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073380614
PECOS PAC ID: 8426495292
Enrollment ID: O20240328002362

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackilyn Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackilyn Wilson, NP
400 Sugar Camp Cir, Ste 200,
Oakwood, OH 45409-1981

Ph: (937) 276-8320		Jackilyn Wilson, NP
3120 Governors Place Blvd,
Dayton, OH 45409-1328

Ph: (937) 293-1622

Reviews and Comments


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Mr. Kenneth Levi Moore Iii, CNP
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Phone: 937-438-5954    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.