Active NPI
Jason P Wilson, P.A.
- Physician Assistant
- Rockingham, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821336306 | Medicaid | VA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velocity Urgent Care, LLC | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Saunders & Peavy LLC | Past | 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.
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
-
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Customized Equipment (DME)
- Harrisonburg, VA
- NPI 1043238967
-
- Urgent Care Clinic/Center
- Harrisonburg, VA
- NPI 1245908268
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.