Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659375335 Individual Practitioner Female Practitioner

Dr. Jane Ellen Wilson , MD

Pediatrics • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jane Wilson, MD is a registered healthcare professional specializing in Pediatrics in Indianapolis, IN. Practice services are available at 5550 S EAST ST under active NPI credentials.

Frequently performed procedures and clinical services include vaccine for influenza for administration into muscle, 0.5 ml dosage. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5550 S East St
Ste.i

Indianapolis, IN 462271979

Telephone 3177804080
Fax 3177804088
Associated Practice Facility / Clinic
🏢 World Harvest Dental, Inc. Facility NPI 1861660086

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
387 Specialists

Practicing in Indianapolis, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage
11 11 $31.00 $20.44

Medical Specialties & State Licenses

CMS Verified: 2022-02-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01047151A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License IN 01047151

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200181770 (IN)
Commercial Insurance / Payer ID Anthem
000000507395 (IN)

Secondary Practice Locations

705 Riley Hospital Dr

Indianapolis, IN 462025109

Phone: 3179482700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Robert White , MD

Psychiatry & Neurology - Psychiatry

NPI 1093723496

Doctor of Medicine (M.D.)

NPI 1184063331

Doctor of Osteopathic Medicine (D.O.)

Dr. Blaine Takesue , MD

Internal Medicine

NPI 1225046089

Doctor of Medicine (M.D.)

Britany Willett , NP

Nurse Practitioner - Family

NPI 1225851785

Nurse Practitioner

NPI 1235188137

Doctor of Medicine (M.D.)

Dr. Rachael Bowles , MD

Internal Medicine

NPI 1295793412

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2022

Pediatrics (License #01047151 in IN)

📍
Updated Business Mailing Address November 25, 2020

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

NPI Profile Active February 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2014

Registered at 5550 S EAST ST, STE.I, INDIANAPOLIS, IN 462271979 (Tel: 3177804080)

📍
Updated Business Mailing Address February 26, 2014

Registered at 250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 462194959

👤
Provider Name / Credentials Updated February 26, 2014

Recorded as JANE WILSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Pediatrics (License #01047151A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Pediatrics (License #01047151 in IN)

🟢
Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659375335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: February 02, 2022
Sole Proprietor: No

Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.