Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1841064243 Deactivated / Inactive NPI Female Practitioner

Jennifer Lynn Wilson

Case Manager/Care Coordinator • Kennett, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2023
NPI Deactivation Date April 03, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Jennifer Wilson was a registered Case Manager/Care Coordinator practicing in Kennett, MO. Throughout an active medical career spanning 2 years, Jennifer Wilson provided care at the practice location at 1226 INDEPENDENCE AVE until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

1226 Independence Ave

Kennett, MO 638571316

Telephone 5735592380
Associated Practice Facility / Clinic
🏢 Cavness Chiro Inc. Facility NPI 1194981183

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Kennett, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
194 Specialists

Practicing in Kennett, MO (1640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tina Jenkins

Case Manager/Care Coordinator

NPI 1003561465
Luisana Jones

Behavior Technician

NPI 1003622416
Kristi Smith , LPC

Counselor - Professional

NPI 1013243179

Licensed Professional Counselor

Matthew Norte

Behavior Technician

NPI 1013778190
Tammie Gist

Behavior Technician

NPI 1033736327
Garland Cleek

Behavior Technician

NPI 1033892690

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active November 07, 2023

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2023

Registered at 1226 INDEPENDENCE AVE, KENNETT, MO 638571316 (Tel: 5735592380)

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Updated Business Mailing Address November 07, 2023

Registered at 1226 INDEPENDENCE AVE, KENNETT, MO 638571316 (Tel: 5735592380)

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Provider Name / Credentials Updated November 07, 2023

Recorded as JENNIFER WILSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2023

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration November 07, 2023

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: 1841064243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2023
Last Update: November 07, 2023
Deactivation Date: April 03, 2025

Mailing Address

1226 Independence Ave

Kennett, MO 638571316

Phone: 5735592380

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.