Active NPI
Jordan Finnegan Wilson, PA-C
- Physician Assistant
- Boise, ID
National Provider Identifier
1396106928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1353
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1353 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Foot & Ankle LLC | Past | Accepting new patients | |
| Ashwood Recovery LLC | Past | Accepting new patients | |
| Northpoint Recovery LLC | Past | Accepting new patients | |
| Boise Behavioral Medicine PLLC | Past | Accepting new patients | |
| Kuna Healthcare Clinic, PLLC | Past | 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.
-
- Family Medicine Physician
- Kuna, ID
- NPI 1598822231
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1043545106
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Boise, ID
- NPI 1801452677
-
- Mental Health Counselor
- Boise, ID
- NPI 1003598020
-
- Foot & Ankle Surgery Podiatrist
- Hailey, ID
- NPI 1528837374
-
- Nurse Practitioner
- Kuna, ID
- NPI 1114489788
-
- Substance Abuse Rehabilitation Facility
- Meridian, ID
- NPI 1154709087
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.