Active NPI
Jordan Wilson, APRN
- Adult Health Nurse Practitioner
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2024004279
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Post-Acute Physicians of Missouri PC | Current | 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.
-
- General Practice Physician
- Springfield, MO
- NPI 1760405864
-
- Family Medicine Physician
- Shell Knob, MO
- NPI 1538334396
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
- Family Medicine Physician
- Springfield, MO
- NPI 1922126077
-
- Physical Medicine & Rehabilitation Physician
- Bridgeton, MO
- NPI 1164818290
-
- Hospitalist Physician
- Springfield, MO
- NPI 1952355646
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.