Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN NICOLE WILSON PA
NPI 1508322611
Physician Assistant in Columbia, MO

Q: What is Jordan Wilson's NPI number?

The NPI number for Jordan Wilson is 1508322611. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Q: What is Jordan Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Wilson was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since February 13, 2019PECOS EnrolledAccepts Medicare Assignment

1 HOSPITAL DR, COLUMBIA, MO 65212(573) 882-2568(855) 903-0985 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Jul 14, 2026, May 14, 2024 and 1 more (4 updates tracked since 2019).

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About Jordan Nicole Wilson Pa NPPES

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

JORDAN NICOLE WILSON PA (NPI 1508322611) is an individual physician assistant in Columbia, Missouri, licensed in Missouri (2024003132) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508322611

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJORDAN NICOLE WILSONCredential: PA

Location Address1 HOSPITAL DRColumbia, MO 65212-0001

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 581-1445 · Fax (573) 473-3794

Phone(573) 882-2568

Fax(855) 903-0985

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 13, 2019

Last NPPES UpdateJuly 21, 20264 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1508322611 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

License✔ Licensed in MO · 2024003132

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 ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1 HOSPITAL DR, Columbia, MO 65212

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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 and accepts Medicare assignment

Jordan Nicole Wilson Pa 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 ID6305286139

PECOS Enrollment IDI20240426002590

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

100 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

DR. RAHUL JAIN M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)