Individual provider Active NPI

Jordan Williams, PA

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1063988343
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
280 Vista Knoll Pkwy Ste 107
Reno, NV 89506-5649
Phone
(775) 329-6300
Fax
(775) 348-3896
NPI assigned
Oct 15, 2018
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

280 Vista Knoll Pkwy Ste 107
Reno, NV 89506-5649

Mailing address

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other practice location 1

330 Crampton St
Reno, NV 89502-2480
Phone (775) 329-6300

Other practice location 2

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other practice location 3

2244 Oddie Blvd
Sparks, NV 89431-7574
Phone (775) 329-6300

Other practice location 4

5055 Sun Valley Blvd Ste 100
Sun Valley, NV 89433-8296
Phone (775) 329-6300

Other practice location 5

3915 Neil Rd
Reno, NV 89502-6808
Phone (775) 329-6300

Other practice location 6

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

Other identifiers 1

IdentifierTypeStateIssuer
100560840MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115001385 NV Practitioner - Physician Assistant 5991041816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AllianceGroup PAC ID 3577540160, 53 clinicians

Practice addresses (Care Compare)

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

2244 Oddie Blvd
Sparks, NV 89431-7574
Phone (775) 329-6300

280 Vista Knoll Pkwy
Suite 107
Reno, NV 89506-5649
Phone (775) 329-6300

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 997-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance Current Accepting new patients
Community Health Alliance CurrentSince Aug 6, 2019 Accepting new patients
Community Health Alliance CurrentSince Aug 6, 2019 Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Community Health Alliance Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

1055 S Wells Ave
Reno, NV 89502
Phone (775) 336-3035

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Sun Valley, NV 89433
Phone (775) 870-4301

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1063988343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 VISTA KNOLL PKWY STE 107",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895065649",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Crampton St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022480",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 S Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895024113",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2244 Oddie Blvd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894317574",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5055 Sun Valley Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "NV",
            "postal_code": "894338296",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Neil Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026808",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 S Wells Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022550",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORDAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100560840",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.