Individual provider Active NPI

Jordan Wilson, APRN

  • Adult Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1285480293
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2024004279 Issued in MO
Practice address
3555 S National Ave
Springfield, MO 65807-7310
Phone
(000) 000-0000
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2024004279 MO Primary
Gerontology Nurse Practitioner 363LG0600X 2024004279 MO

Addresses

Primary practice location

3555 S National Ave
Springfield, MO 65807-7310

Mailing address

3555 S National Ave
Springfield, MO 65807-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240622000548 MO Practitioner - Nurse Practitioner 6608319397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians

Practice addresses (Care Compare)

1001 E Primrose
Springfield, MO 65807-5155

1001 E Primrose St
Springfield, MO 65807-5155

3525 S National
Ozark Dialysis Svce
Springfield, MO 65807-7310
Phone (417) 875-3000

3535 S National
Ferrell Duncan Clinic
Springfield, MO 65807-7310
Phone (417) 269-9800

3555 S National
Bone and Joint Center
Springfield, MO 65807-7310
Phone (417) 875-3000

3555 S National Ave
Springfield, MO 65807-7310

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jan 27, 2026 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 27, 2026 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 29, 2024 Accepting new patients
Post-Acute Physicians of Missouri PC CurrentSince Jan 27, 2026 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

1660 W Garton Rd
Ozark, MO 65721
Phone (417) 551-9669

1660 W Garton Rd
Ozark, MO 65721
Phone (417) 551-9669

3555 S National Ave
Springfield, MO 65807
Phone (417) 875-3246

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

3535 S National Ave
Springfield, MO 65807
Phone (417) 269-9767

3555 S National Ave
Fl 3
Springfield, MO 65807

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1285480293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JORDAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2024004279",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2024004279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.