Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodi Michelle Wilson

Individual provider Family Nurse Practitioner · NPI 1467056184

Jodi Michelle Wilson is a Nurse Practitioner in Pasadena, California. Qualified in 2020, 6 years ago. Practices with Craig R. Johnson, MD, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

960 E Green St Ste 292
Pasadena, CA 91106-2401
Phone: (626) 449-4494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95016068 (CA)

Record details

NPI number1467056184
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 23, 2020
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Craig R. Johnson, Md, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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