JORDAN WILSON (PA-C) – Physician Assistant, NPI 1235651720
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JORDAN WILSON (PA-C)
123 4TH AVE W APT 702
OLYMPIA, WA 985011052
Phone: (630) 605-2703
Type: Mailing
3469 N Dixie Hwy
Oakland Park, FL 333342872
Phone: (305) 912-4323
Type: Location
2428 W Reynolds Ave
Centralia, WA 98531
Phone: (360) 330-9044
Type: Location
100 NEW STATE HWY
RAYNHAM, MA 027675423
Phone: (781) 666-2711
Fax: (781) 666-2712
Type: Mailing
2428, West Reynolds Avenue, Centralia, Lewis County, Washington, 98531, United States
CENTRALIA, WA 98531
Phone: (360) 330-9044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $312.
Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($78).
Total Amount
$312
General + Research + Ownership
Payments
15
Total payment records
General Amount
$312
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $78 |
| Teva Pharmaceuticals USA, Inc. | $57 |
| ABBVIE INC. | $54 |
| Alkermes, Inc. | $45 |
| Corium, LLC | $25 |
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: 2025-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180911003525 | I | Physician Assistant | WA | TBD |
| I20250318003456 | I | Physician Assistant | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 31 | $0 |
Insurance plans in this area (ZIP 98501)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | RI | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | RI | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | MA | |
| - | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.