Individual provider Active NPI

Jordan Coho, PA-C

  • Medical Physician Assistant
  • Altoona, PA
National Provider Identifier
1073286423
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA062688 Issued in PA
Practice address
Blair Nephrology Associates Inc
312 Chestnut Avenue
Altoona, PA 16601-4911
Phone
(814) 946-3500
Fax
(814) 946-5068
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA062688 PA Primary

Addresses

Primary practice location

Blair Nephrology Associates Inc
312 Chestnut Avenue
Altoona, PA 16601-4911

Mailing address

312 Chestnut Avenue
Altoona, PA 16601-4911
Phone (814) 946-3500

Other names 1

  • Jordan Novak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210816003016 PA Practitioner - Physician Assistant 7810392750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair Nephrology Assoc IncGroup PAC ID 6305884800, 2 clinicians

Practice addresses (Care Compare)

312 Chestnut Ave
Altoona, PA 16601-4911
Phone (814) 946-3500

Hospital & facility affiliations

  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117
  • Conemaugh Nason Medical Center Hospital, Roaring Spring, PA, CCN 390062
  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

Merit-based Incentive Payment System (MIPS)

Final score
99.94 of 100Reported as group
Quality
97.44
Improvement activities
40
Cost
79.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062688PAMDMedical Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFHBA/Endpoint/IAFHBA

Organizations & group practices 1

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1073286423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-3500",
            "fax_number": "814-946-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLAIR NEPHROLOGY ASSOCIATES INC",
            "address_2": "312 CHESTNUT AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-3500",
            "fax_number": "814-946-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHO",
        "first_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-01-06",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "NOVAK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.