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

Jordan Wilson, PA-C

Individual provider Physician Assistant · NPI 1144898990

Jordan Wilson, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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

1870 Leonard St NE
Grand Rapids, MI 49505
Phone: (616) 956-9619
Fax: (616) 956-8033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 68th St Se Bldg E, Grand Rapids, MI 49548-6927 — (616) 258-7481

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010388 (MI)

Record details

NPI number1144898990
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Grand Rapids