Individual provider Active NPI

Jordan Dukes, PA

  • Physician Assistant
  • Fort Riley, KS
National Provider Identifier
1447601232
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
600 Caisson Hill Rd
Fort Riley, KS 66442-7037
Phone
(785) 239-7000
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 Primary

Addresses

Primary practice location

600 Caisson Hill Rd
Fort Riley, KS 66442-7037

Mailing address

3591 Letter Rock Rd
Manhattan, KS 66502-9317
Phone (916) 296-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220511000692 KS Practitioner - Physician Assistant 3577940675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLC 212 clinicians

Practice addresses (Care Compare)

1021 Fleming St
Garden City, KS 67846-6252
Phone (620) 287-2010

1513 W Wyatt Erp Blvd
Dodge City, KS 67801-3352
Phone (620) 682-8304

231 S Andover Rd
Andover, KS 67002-7919
Phone (316) 733-9355

3511 Clinton PL
Suite B
Lawrence, KS 66047-2213
Phone (785) 838-1500

435 McCall Rd
Manhattan, KS 66502-5001
Phone (785) 669-4152

445 W 15TH St
Liberal, KS 67901-2464
Phone (620) 417-9012

527 W 6TH St
Junction City, KS 66441-3143
Phone (785) 530-5823

7107 S Meridian St
Haysville, KS 67060-7678
Phone (316) 858-8580

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jan 24, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jan 24, 2025 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

435 McCall Rd
Manhattan, KS 66502
Phone (785) 669-4152

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 4

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1447601232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 LETTER ROCK RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665029317",
            "telephone_number": "916-296-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664427037",
            "telephone_number": "785-239-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Riley, KS

Sources for this page

Verify at the official NPI Registry.