Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonah Wilson, PA

Individual provider Physician Assistant · NPI 1780383505

Jonah Wilson, PA is a Physician Assistant in Fruita, Colorado. Qualified in 2025, 1 year ago. Works from 4 locations. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

300 W Ottley Ave
Fruita, CO 81521-2118
Phone: (970) 858-2705
Fax: (970) 858-9961
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 401 Kokopelli Blvd Ste 3, Fruita, CO 81521-3308 — (970) 200-1700
  • 300 W Ottley Ave, Fruita, CO 81521-2118 — (970) 858-3900
  • 281 N Plum St, Fruita, CO 81521-2100 — (970) 858-2530

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009248 (CO)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1780383505
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing addressPo Box 130, Fruita, CO 81521-0130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fruita