Individual provider Active NPI

Jason P Wilson, P.A.

  • Physician Assistant
  • Rockingham, VA
National Provider Identifier
1821336306
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004140 Issued in VA
Practice address
2509 Pleasant Run Dr
Rockingham, VA 22801-8720
Phone
(540) 689-5500
Fax
(757) 431-7116
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110004140 VA Primary

Addresses

Primary practice location

2509 Pleasant Run Dr
Rockingham, VA 22801-8720

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 689-5500

Other identifiers 1

IdentifierTypeStateIssuer
1821336306MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130807000638 VA Practitioner - Physician Assistant 2668611872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

136 W Elizabeth St
Harrisonburg, VA 22802-3811

2006 Health Campus Dr
Rockingham, VA 22801-8679

2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110

2509 Pleasant Run Dr
Harrisonburg, VA 22801-8720
Phone (540) 689-5700

3841 Stone Spring Rd
Rockingham, VA 22801-3897
Phone (540) 346-6288

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Jun 20, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Mar 1, 2020 Accepting new patients
Saunders & Peavy LLC PastSince Aug 19, 2021 Accepting new patients

Locations

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2509 Pleasant Run Dr
Rockingham, VA 22801
Phone (540) 689-4500

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1821336306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-689-5500",
            "fax_number": "757-431-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PLEASANT RUN DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018720",
            "telephone_number": "540-689-5500",
            "fax_number": "757-431-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821336306",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.