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

Jordan Vold, PA-C

Individual provider Medical Physician Assistant · NPI 1922383769

Jordan Vold, PA-C is a Physician Assistant in Madison, Wisconsin. Qualified in 2011, 15 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
15
Licensed in
IL, WI
In the registry since
2011
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

1102 S Park St
Madison, WI 53715-1708
Phone: (608) 263-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1221 E State St, Rockford, IL 61104-2231 — (815) 972-1000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7612 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085004186 (IL)

Record details

NPI number1922383769
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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