Individual provider Active NPI

Damon M Jordan, PA-C

  • Physician Assistant
  • North Liberty, IA
National Provider Identifier
1033109707
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
130316 Issued in IA
Practice address
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone
(319) 356-2223
Fax
(319) 353-6745
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 130316 IA
Surgical Physician Assistant 363AS0400X PA458 ME
Physician Assistant 363A00000X 130316 IA Primary

Addresses

Primary practice location

701 W Forevergreen Rd
North Liberty, IA 52317-9848

Mailing address

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-2223

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CT, NY, OK, IA, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040719000657 ME Practitioner - Physician Assistant 7416936877 Reassigns benefits to 7 organizations
I20240305000378 CT Practitioner - Physician Assistant 7416936877 Reassigns benefits to 1 organization
I20240305001423 NY Practitioner - Physician Assistant 7416936877 Reassigns benefits to 1 organization
I20240410001078 OK Practitioner - Physician Assistant 7416936877 Reassigns benefits to 1 organization
I20250603001780 IA Practitioner - Physician Assistant 7416936877 Reassigns benefits to 1 organization
I20260127002199 WI Practitioner - Physician Assistant 7416936877 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

701 W Forevergreen Rd
Univ of Ia Health Care Med Ctr N Liberty
North Liberty, IA 52317-9848
Phone (319) 485-0550

Hospital & facility affiliations

  • Aspirus Medford Hospital & Clinics, Inc Hospital, Medford, WI, CCN 521324
  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130316IAMDPhysician Assistant
PA458MEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Dec 17, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Mainehealth CurrentSince May 16, 2016 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Mainehealth CurrentSince Sep 29, 2015 Accepting new patients
Mainehealth CurrentSince Sep 29, 2015 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jan 1, 2026 Accepting new patients
Central Maine Medical Center CurrentSince Dec 17, 2023 Accepting new patients
State University of Iowa CurrentSince May 21, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Rumford Hospital CurrentSince Feb 14, 2024 Accepting new patients
Bridgton Hospital CurrentSince Dec 17, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Past Accepting new patients
State University of Iowa Past Accepting new patients
St. Mary'S Regional Medical Center Past Accepting new patients

Locations

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223

29980 Network Pl
Chicago, IL 60673

690 Minot Ave
#1
Auburn, ME 04210
Phone (207) 783-1328

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

10 High St
Ste 204
Lewiston, ME 04240
Phone (207) 753-3900

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

99 Campus Ave
Ste 303
Lewiston, ME 04240
Phone (207) 777-4460

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

Interoperability endpoints

  • Direct secure messaging: djordan17608@direct.mmc.mainehealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 9

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1033109707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FOREVERGREEN RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179848",
            "telephone_number": "319-356-2223",
            "fax_number": "319-353-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FOREVERGREEN RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179848",
            "telephone_number": "319-356-2223",
            "fax_number": "319-353-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2223",
            "fax_number": "319-353-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DAMON",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "130316",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA458",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "130316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.