Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jordan Wilson, PA-C
Physician Assistant in Raynham, MA · enumerated 2017.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1235651720
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Registry record
Entity type Individual (Type 1)
Name Jordan Wilson
Credential PA-C
Sex Male
Practice address 100 New State Hwy, Raynham, MA, 02767
Phone (781) 666-2711
Fax (781) 666-2712
Enumeration date Jul 17, 2017
Last updated in NPPES Mar 12, 2025
Taxonomy & licenses
2084B0040X Behavioral Neurology & Neuropsychiatry Physician Allopathic & Osteopathic Physicians · License 9110440 (FL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60855409 (WA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA101388 (MA) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101119 | Medicaid | WA | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Jordan Wilson?
The National Provider Identifier (NPI) for Jordan Wilson is 1235651720, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jordan Wilson practice?
The practice location on file with NPPES is in Raynham, MA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Lynette Logan Clinical Social Worker · Raynham, MA NPI 1164977708 Kerry Smith Clinical Social Worker · Raynham, MA NPI 1275083230 Lauren Wenzl Physician Assistant · Raynham, MA NPI 1285179929 Ann Brooks Clinical Social Worker · Raynham, MA NPI 1649786955 Ashley Vasquez Clinical Social Worker · Raynham, MA NPI 1306456041 Terri Miller Psychiatric/Mental Health Nurse Practitioner · Raynham, MA NPI 1295492635 Terrence Rogers Clinical Social Worker · Raynham, MA NPI 1336861202 Franklin Quider Psychiatric/Mental Health Nurse Practitioner · Raynham, MA NPI 1962103713
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-12.