Jacquelyn Ann Wilson, CNP | |
515 Pacific Ave, Audubon, IA 50025-1056 | |
(712) 563-2611 | |
(712) 563-5248 |
Full Name | Jacquelyn Ann Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 515 Pacific Ave, Audubon, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326414947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A145802 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Audubon County Memorial Hospital | Audubon, IA | Hospital |
Cass County Memorial Hospital | Atlantic, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cass County Memorial Hospital | 5294634994 | 56 |
Audubon County Memorial Hospital | 7618866096 | 15 |
Entity Name | Cass County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681 |
Entity Name | Audubon County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730153420 PECOS PAC ID: 7618866096 Enrollment ID: O20040312001260 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Ann Wilson, CNP 402 W Morrow Rd, Sand Springs, OK 74063-6549 Ph: (918) 770-3134 | Jacquelyn Ann Wilson, CNP 515 Pacific Ave, Audubon, IA 50025-1056 Ph: (712) 563-2611 |
Valerie Ann Riesberg, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 | |
George Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-3078 | |
Carol Klocke, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-3078 | |
Hope Jennifer Jensen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Broadway St Ste 2, Audubon, IA 50025 Phone: 855-563-6190 Fax: 855-563-6192 | |
Patty E. Hildreth, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Broadway St, Audubon, IA 50025 Phone: 712-563-4206 Fax: 712-563-2001 | |
Rae Marie Mcdivitt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 |