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JORDAN WILSON PA-C
NPI 1235651720
Physician Assistant in Raynham, MA

Active since July 17, 2017PECOS EnrolledAccepts Medicare Assignment
100 NEW STATE HWY, RAYNHAM, MA 02767(781) 666-2711(781) 666-2712 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Sep 6, 2018, Aug 29, 2018 and 1 more (4 updates tracked since 2017).

About Jordan Wilson Pa-c NPPES

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

JORDAN WILSON PA-C (NPI 1235651720) is an individual physician assistant in Raynham, Massachusetts, licensed in Massachusetts (PA101388) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235651720
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN WILSONCredential: PA-C
Location Address100 NEW STATE HWYRaynham, MA 02767-5423
Mailing Address100 New State HwyRaynham, MA 02767-5423 · (781) 666-2711 · Fax (781) 666-2712
Phone(781) 666-2711
Fax(781) 666-2712
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 17, 2017
Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1235651720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA101388✔ Licensed in WA · PA60855409
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.
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 9110440 (FL)
100 NEW STATE HWY, Raynham, MA 02767
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13469 N Dixie HwyOakland Park, FL 33334-2872 · Phone (305) 912-4323
Location 22428 W Reynolds AveCentralia, WA 98531 · Phone (360) 330-9044

Other Identifiers 1

Medicaid2101119WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.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 ID7012267115
PECOS Enrollment IDI20250318003456
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 02767 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 9

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

LYNETTE LOGAN
Social Worker (Clinical)
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (781) 666-2711
KERRY SMITH LCSW
Social Worker (Clinical)
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (781) 666-2711
NIKKIA WATSON LICSW
Social Worker (Clinical)
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (781) 666-2711
LAUREN BETH WENZL PA-C
Physician Assistant
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (718) 666-2711
TERRI DENISE MILLER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (781) 666-2711
ASHLEY MARIE VASQUEZ LICSW
Social Worker (Clinical)
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (781) 666-2711
TERRENCE ROGERS
Social Worker (Clinical)
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (781) 666-2711
ANN LORRAINE BROOKS LICSW
Social Worker (Clinical)
100 NEW STATE HWY
RAYNHAM, MA 02767
Bristol County (781) 666-2711

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 1235651720. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Jordan Wilson located?

Jordan Wilson practices at 100 New State Hwy, Raynham, MA 02767. The listed phone number is (781) 666-2711.

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 Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan 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 March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.