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Active NPI 1235651720 Individual Practitioner Male Practitioner

Jordan Wilson , PA-C

Physician Assistant • Raynham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jordan Wilson, PA-C is a certified Physician Assistant practicing in Raynham, MA. With approximately 9 years of clinical experience since completing medical education in 2017, Jordan Wilson delivers high-quality medical care to the local community at 100 NEW STATE HWY.

Jordan Wilson is affiliated with Spectrum Neuro Behavioral Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 New State Hwy

Raynham, MA 027675423

Telephone 7816662711
Fax 7816662712
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Raynham, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -3.2 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Raynham, MA (4746 Statewide)

Telehealth Adoption Rate
38.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (9 Years) 9 Yrs
Raynham Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 20 $244.80 $81.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $244.80 $81.99

Medical Specialties & State Licenses

CMS Verified: 2025-03-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA101388

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.

Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry

NUCC Taxonomy Code: 2084B0040X

State License FL 9110440

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA60855409

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2101119 (WA)

Hospital & Practice Group Affiliations

Spectrum Neuro Behavioral Care Llc

61 Lincoln St, Framingham, MA 017028264

Phone: 7816662711

Secondary Practice Locations

3469 N Dixie Hwy

Oakland Park, FL 333342872

Phone: 3059124323

2428 W Reynolds Ave

Centralia, WA 98531

Phone: 3603309044

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gerry Hearn

Social Worker - Clinical

NPI 1003390436
Dana Gonzalez , MSW

Social Worker - Clinical

NPI 1063038172

Master of Social Work

Biankah Kiser-Miranda

Counselor - Mental Health

NPI 1073260535
Katty St Paul , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083264329

Psychiatric-Mental Health Nurse Practitioner

Emily Kovacs

Social Worker - Clinical

NPI 1083335988
Melissa Burl , LCSW

Social Worker - Clinical

NPI 1083476014

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 12, 2025

Registered at 100 NEW STATE HWY, RAYNHAM, MA 027675423 (Tel: 7816662711)

📍
Updated Business Mailing Address March 12, 2025

Registered at 100 NEW STATE HWY, RAYNHAM, MA 027675423 (Tel: 7816662711)

📍
Updated Practice Location September 06, 2018

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 98531 (Tel: 3603309044)

📍
Updated Business Mailing Address September 06, 2018

Registered at 123 4TH AVE W APT 702, OLYMPIA, WA 985011052 (Tel: 6306052703)

NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2018

Registered at 3469 N DIXIE HWY, OAKLAND PARK, FL 333342872 (Tel: 3059124323)

📍
Updated Business Mailing Address January 23, 2018

Registered at 4781 LAKELAND DR, DELRAY BEACH, FL 334455325 (Tel: 6306052703)

👤
Provider Name / Credentials Updated January 23, 2018

Recorded as JORDAN WILSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Psychiatry & Neurology (License #9110440 in FL)

NPI Profile Active July 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2017

Registered at 3469 N DIXIE HWY, OAKLAND PARK, FL 333342872 (Tel: 3059124323)

📍
Updated Business Mailing Address July 17, 2017

Registered at 4781 LAKELAND DR, DELRAY BEACH, FL 334455325 (Tel: 6306052703)

👤
Provider Name / Credentials Updated July 17, 2017

Recorded as JORDAN WILSON, PA-C

🟢
Initial NPI Registration & Enumeration July 17, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235651720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2017
Last Update: March 12, 2025
Sole Proprietor: No

Mailing Address

100 New State Hwy

Raynham, MA 027675423

Phone: 7816662711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.