Jonah Wilson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0009248 Issued in CO

Practice address

300 W Ottley Ave
Fruita, CO 81521-2118

Phone

(970) 858-2705

Fax

(970) 858-9961

NPI assigned

Mar 1, 2023

Last updated

Aug 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Health West Hospital Hospital, Fruita, CO, CCN 061302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Lower Valley Hospital Association

  dba FHW Physician Services

  • Anesthesiology Physician
  • Fruita, CO
  • NPI 1609190206
  Medicare reassignment NPD
• Lower Valley Hospital Association

  dba Family Health West

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Medicare reassignment NPD
• Lower Valley Hospital Association

  dba Family Health West Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Fruita, CO
  • NPI 1326646043
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lower Valley Hospital Association

  dba Family Health West

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Care Compare affiliation

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1780383505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-260-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212118",
            "telephone_number": "970-858-2705",
            "fax_number": "970-858-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 N Plum St",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212100",
            "country_code": "US",
            "telephone_number": "970-858-2530",
            "fax_number": "970-858-1196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Kokopelli Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815213308",
            "country_code": "US",
            "telephone_number": "970-200-1700",
            "fax_number": "844-424-0334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-3900",
            "fax_number": "970-858-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JONAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Fruita, CO
• Providers in Fruita, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
• 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.

Verify at the official NPI Registry.