JEFFREY P. WILSON MD – NPI #1003287079
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

JEFFREY WILSON is a physician located in FENTON, MO. NPPES has assigned the NPI number 1003287079 to JEFFREY WILSON on October 15, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Sep 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY WILSON below.

NPI Profile for
JEFFREY P. WILSON

NPI Number
1003287079
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY P. WILSON
Credentials
MD
Primary location
1011 BOWLES AVE STE 300
FENTON, MO 63026-2387
Phone: (636) 496-5065 Fax:
3 Other location(s):
2300 N Edward St
Decatur, IL 62526-4192
Phone: (217) 876-8121
619 E Mason St
Springfield, IL 62701-1034
Phone: (217) 788-0706
201 Anamaria Dr
Rapid City, SD 57701-7305
Phone: (605) 503-8192
Mailing address
345 W STEAMBOAT DR STE 601
NORTH SIOUX CITY, SD 57049-5287
Phone: Fax: (605) 217-5533
Sole Proprietor
No
Updated
Certification Date
Sep 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 MO 2025010674
207RC0000X
- Internal Medicine / Cardiovascular Disease		 IL 036165783
207R00000X
- Internal Medicine		 IL 036165783

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
619 E MASON ST,
SPRINGFIELD, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEFFREY WILSON is affiliated with the following medical group(s):
  • HOSPITAL
    • MONUMENT HEALTH CUSTER HOSPITAL
      1220 MONTGOMERY STREET
      CUSTER, SD 57730
    • MONUMENT HEALTH RAPID CITY HOSPITAL
      353 FAIRMONT BLVD POST OFFICE BOX 6000
      RAPID CITY, SD 57701
    • MONUMENT HEALTH SPEARFISH HOSPITAL
      1440 N MAIN ST
      SPEARFISH, SD 57783
    • MONUMENT HEALTH STURGIS HOSPITAL
      2140 JUNCTION AVE
      STURGIS, SD 57785
    • PINE RIDGE IHS HOSPITAL
      EAST HIGHWAY 18
      PINE RIDGE, SD 57770

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.