JORDAN WILLIAMS (PA) – Physician Assistant, NPI 1063988343

JORDAN WILLIAMS (PA) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for JORDAN WILLIAMS (PA) is 1063988343

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN WILLIAMS (PA)
NPI
1063988343
Phone
Not provided
Address
7965 RUSTY RD
Enumeration Date
15 October 2018
Last Update Date
30 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753296300
Graduation Year
2018 (8 years ago)
PAC ID
5991041816
Group Practice PAC ID
3577540160
Professional Enrollment ID
I20190115001385
Address ID
NV895065649RE280XXPKWY402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for JORDAN WILLIAMS (PA)

  • 7965, Rusty Road, Reno, Washoe County, Nevada, 89511, United States

    RENO, NV 895111084

    Phone:

    Type: Mailing

  • 100, Ryland Street, Midtown, Reno, Washoe County, Nevada, 89501, United States

    RENO, NV 895021669

    Phone: (775) 982-5000

    Fax: (775) 982-3900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($113).

Total Amount

$407

General + Research + Ownership

Payments

15

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190115001385IPhysician AssistantNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level2516$0
81003Automated urinalysis test1613$0
82044Urine microalbumin (protein) analysis1211$0
View full utilization report →

Insurance plans in this area (ZIP 89511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577540160View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantNV
Physician AssistantNV
Nurse PractitionerSD
Physician AssistantNV
Physician AssistantNV
Nurse PractitionerNV
Family PracticeNV
Clinical Social WorkerNV
Internal Medicine, HospitalistNV

Reviews

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Frequently asked questions

What is the standard ID for JORDAN WILLIAMS (PA) in the U.S.?
In the U.S., JORDAN WILLIAMS (PA) is identified by NPI 1063988343.
Quick check: is JORDAN WILLIAMS (PA) active?
Public NPPES data shows JORDAN WILLIAMS (PA) with an active NPI status right now.
Which specialty label fits JORDAN WILLIAMS (PA)?
NPPES ties JORDAN WILLIAMS (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JORDAN WILLIAMS (PA) tied to Reno, Nevada?
If you are local to Reno, Nevada, JORDAN WILLIAMS (PA) may be relevant to your search.
Why is information missing for JORDAN WILLIAMS (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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