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JORDAN WILSON PA-C
NPI 1144898990
Physician Assistant in Grand Rapids, MI

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505(616) 956-9619(616) 956-8033 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2024, Jun 21, 2021, Jun 16, 2021 (3 updates tracked since 2021).

About Jordan Wilson Pa-c NPPES

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

JORDAN WILSON PA-C (NPI 1144898990) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601010388) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144898990
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN WILSONCredential: PA-C
Location Address1870 LEONARD ST NEGrand Rapids, MI 49505
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Phone(616) 956-9619
Fax(616) 956-8033
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2021
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1144898990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010388
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.
1870 LEONARD ST NE, Grand Rapids, MI 49505
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Secondary Practice Location 1

Location 1300 68th St SE Bldg EGrand Rapids, MI 49548-6927 · Phone (616) 258-7481

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Wilson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901201839
PECOS Enrollment IDI20210816002554
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 49505 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

JASON R ROOD LMSW
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-1122
ANGELA M SCOTT LPC
Counselor (Professional)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-9619
WENDY BILGEN LMSW
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-1122
DAVID MARKHAM LPC, CAADC, CCS
Counselor (Professional)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-9619
MS. CONNIE M VANDER SCHEL MSW, LMSW
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-1122
MISS ANUPAMA RANI ALLINGTON LMSW
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-1122
MICHELLE CHRISTINE HESLINGA LMSW
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-9619
JOY LEISE LMSW
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Kent County (616) 956-1122

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 Jordan Wilson's NPI number?

The NPI number for Jordan Wilson is 1144898990. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Jordan Wilson located?

Jordan Wilson practices at 1870 Leonard St NE, Grand Rapids, MI 49505. The listed phone number is (616) 956-9619.

What is Jordan Wilson's specialty?

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

Is Jordan Wilson enrolled in Medicare?

Yes. Jordan Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Jordan Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Wilson was last updated on November 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.