JONAH WILSON PA
NPI 1780383505
Physician Assistant in Fruita, CO

Active since March 01, 2023PECOS Enrolled
300 W OTTLEY AVE, FRUITA, CO 81521(970) 858-2705(970) 858-9961 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 5, 2025, Jun 17, 2025, Mar 1, 2023 (3 updates tracked since 2023).

About Jonah Wilson Pa NPPES

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

JONAH WILSON PA (NPI 1780383505) is an individual physician assistant in Fruita, Colorado, licensed in Colorado (PA.0009248) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780383505
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJONAH WILSONCredential: PA
Location Address300 W OTTLEY AVEFruita, CO 81521-2118
Mailing AddressPo Box 130Fruita, CO 81521-0130 · (970) 260-7454
Fax(970) 858-9961
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 1, 2023
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1780383505 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 CO · PA.0009248
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.
300 W OTTLEY AVE, Fruita, CO 81521

Secondary Practice Locations 3

Location 1300 W Ottley AveFruita, CO 81521-2118 · Phone (970) 858-3900 · Fax (970) 858-2202
Location 2281 N Plum StFruita, CO 81521-2100 · Phone (970) 858-2530 · Fax (970) 858-1196
Location 3401 Kokopelli Blvd Ste 3Fruita, CO 81521-3308 · Phone (970) 200-1700 · Fax (844) 424-0334

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonah Wilson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254831738
PECOS Enrollment IDI20250820004113
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 81521 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Family Medicine
300 W OTTLEY AVE
FRUITA, CO 81521
Anesthesiology
300 W OTTLEY AVE
FRUITA, CO 81521
Nurse Practitioner (Family)
300 W OTTLEY AVE
FRUITA, CO 81521
Registered Nurse
300 W OTTLEY AVE
FRUITA, CO 81521
Emergency Medicine
300 W OTTLEY AVE
FRUITA, CO 81521
Nurse Practitioner (Family)
300 W OTTLEY AVE
FRUITA, CO 81521
Family Medicine
300 W OTTLEY AVE
FRUITA, CO 81521
Speech-Language Pathologist
300 W OTTLEY AVE
FRUITA, CO 81521

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 Jonah Wilson's NPI number?

The NPI number for Jonah Wilson is 1780383505. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Jonah Wilson located?

Jonah Wilson practices at 300 W Ottley Ave, Fruita, CO 81521. The listed phone number is (970) 858-2705.

What is Jonah Wilson's specialty?

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

Is Jonah Wilson enrolled in Medicare?

Yes. Jonah Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonah Wilson was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.