Individual provider Active NPI

Jordan Finnegan Wilson, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1396106928
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1353 Issued in ID
Practice address
8660 W Emerald St Ste 112
Boise, ID 83704-4829
Phone
(208) 314-1770
Fax
(208) 789-0620
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 PA-1353 ID Primary

Addresses

Primary practice location

8660 W Emerald St Ste 112
Boise, ID 83704-4829

Mailing address

3515 E Overland Rd
Meridian, ID 83642-6757
Phone (208) 605-7070

Other practice location 1

2335 E State Ave
Meridian, ID 83642-8808
Phone (208) 672-1801

Other practice location 2

7941 W Rifleman St
Boise, ID 83704-9001
Phone (208) 895-7950

Other names 1

  • Jordan E Finnegan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20160826002216 ID Practitioner - Physician Assistant 0941595144 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-1353IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Foot & Ankle LLC Past Accepting new patients
Ashwood Recovery LLC Past Accepting new patients
Northpoint Recovery LLC PastSince Nov 27, 2022 Accepting new patients
Boise Behavioral Medicine PLLC Past Accepting new patients
Kuna Healthcare Clinic, PLLC PastSince Mar 4, 2019 Accepting new patients
Ashwood Recovery LLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1396106928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 E OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426757",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W EMERALD ST STE 112",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044829",
            "telephone_number": "208-314-1770",
            "fax_number": "208-789-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 E State Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428808",
            "country_code": "US",
            "telephone_number": "208-672-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7941 W Rifleman St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049001",
            "country_code": "US",
            "telephone_number": "208-895-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JORDAN",
        "middle_name": "FINNEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "FINNEGAN",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.