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

Jordan Levi Walter, PA-C

Individual provider Surgical Physician Assistant · NPI 1023675725

Jordan Levi Walter, PA-C is a Physician Assistant in Lenexa, Kansas. Qualified in 2019, 7 years ago. Practices with Cotton-O'Neil Clinic Revocable Trust, a 658-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
7
Licensed in
KS
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16990 W 86th St Ste 100
Lenexa, KS 66219-3211
Phone: (913) 676-8400
Fax: (913) 599-1692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 Research Park Dr, Manhattan, KS 66502-5000 — (785) 537-2651

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02244 (KS)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 15-02244 (KS)

Record details

NPI number1023675725
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cotton-O'Neil Clinic Revocable Trust — 658 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Lenexa