Jaquelyn Risa Wilansky, M.D.
NPI 1720519812ActiveIndividual· Hospitalist· Springdale, AR
Hospitalist (M.D.) with Banner Hospital Based Physicians Arizona LLC, practicing in Springdale, Arkansas. 158 Medicare patients in 2024, $41,604 paid; nearly all of their 207 Part D prescriptions were generic (93%). Lists Banner Thunderbird Medical Center as a hospital affiliation.
Overview
| NPI | 1720519812 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 21, 2017 |
| Last updated in NPPES | Jun 1, 2021 |
| Certified by provider | Jun 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 60377 | AZ |
| Emergency Medicine | 207P00000X | E-12048 | AR |
| Family Medicine | 207Q00000X | E-12048 | AR |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (AR); Practitioner - Hospitalist (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 467 across 8 procedure codes |
| Paid by Medicare | $41,604 |
Part D prescriptions in 2024
| Prescriptions (claims) | 207 · 210 30-day fills |
|---|---|
| Patients | 96 |
| Total drug cost | $7,004 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Hospitalist |
| Secondary specialties | Family Practice |
Medical group
- Banner Hospital Based Physicians Arizona LLCGlendale, AZ · 637 clinicians
Hospital affiliation
- Banner Thunderbird Medical CenterGlendale, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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