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WILLIAM RANDOLPH JONES PA-C
NPI 1073472627
Physician Assistant in Omaha, NE

Active since January 20, 2026PECOS Enrolled
4920 S 30TH ST STE 103, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Jan 20, 2026 (2 updates tracked since 2026).

About William Randolph Jones Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM RANDOLPH JONES PA-C (NPI 1073472627) is an individual physician assistant in Omaha, Nebraska and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2025).

NPPES Registry Identity

NPI1073472627
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWILLIAM RANDOLPH JONESCredential: PA-C
Location Address4920 S 30TH ST STE 103Omaha, NE 68107-1656
Mailing Address4920 S 30th St Ste 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 734-3990
Phone(402) 734-4110
Fax(402) 734-3990
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2025
Enumeration DateJanuary 20, 2026
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1073472627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4920 S 30TH ST STE 103, Omaha, NE 68107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Randolph Jones Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466928056
PECOS Enrollment IDI20260421001558
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA SALAZAR APRN
Nurse Practitioner (Family)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
JAMILA FACHON STOVALL CNM
Advanced Practice Midwife
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
MOLLIE STEHL LIMHP
Counselor (Mental Health)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
KATHYA CARVAJAL
Counselor (Mental Health)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
DANIEL ARANDA-FREGOSO PA-C
Physician Assistant (Medical)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
ALEXANDER DMITRY BANKETOV DDS
Dentist
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
CECILIA MIYARES
Dentist
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 502-8846
CODY JACOB THORSON PA-C
Physician Assistant
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Jones's NPI number?

The NPI number for William Jones is 1073472627. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is William Jones located?

William Jones practices at 4920 S 30th St Ste 103, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is William Jones's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is William Jones enrolled in Medicare?

Yes. William Jones is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Jones was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.