Jacqueline Nicole Jordan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

339127 Issued in NY

Practice address

433 River St Ste 3000
Troy, NY 12180-2250

Phone

(518) 279-5700

Fax

(518) 270-1323

NPI assigned

Mar 21, 2012

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Lady of Mercy Life CenterGroup PAC ID 7113943846, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Our Lady of Mercy Life Center

  • Skilled Nursing Facility
  • Guilderland, NY
  • NPI 1972598290
  Medicare reassignment Care Compare group NPD
• Capital Region Geriatric Center, Inc.

  dba Eddy Cohoes Rehabilitation Center

  • Skilled Nursing Facility
  • Cohoes, NY
  • NPI 1306885066
  Medicare reassignment NPD
• Heritage House Nursing Center, Inc

  dba Eddy Heritage House Nursing Center

  • Skilled Nursing Facility
  • Troy, NY
  • NPI 1356395909
  Medicare reassignment NPD
• Seton Health at Schuyler Ridge Residential Healthcare

  • Skilled Nursing Facility
  • Clifton Park, NY
  • NPI 1114095171
  Medicare reassignment NPD
• St. Peter's Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Nurse Practitioner

  Medicare reassignment NPD
• The James a. Eddy Memorial Geriatric Center, Inc.

  • Skilled Nursing Facility
  • Troy, NY
  • NPI 1609820265
  Medicare reassignment NPD
• Villa Mary Immaculate

  dba St. Peter's Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Albany, NY
  • NPI 1144215625
  Medicare reassignment NPD
• Beverwyck, Inc

  dba Eddy Village Green at Beverwyck

  • Skilled Nursing Facility
  • Slingerlands, NY
  • NPI 1619282704
  Medicare reassignment
• St. Peter's Health Partners Medical Associates, P.C.

  • Pediatrics Physician
  • Slingerlands, NY
  • NPI 1669717260

  Nurse Practitioner

  NPD (past)
• St. Peter's Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1497701106

  Nurse Practitioner

  NPD (past)
• Sunnyview Hospital and Rehabilitation Center

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1578664470

  Nurse Practitioner

  NPD (past)
• The Community Hospice Inc

  • Community Based Hospice Care Agency
  • Albany, NY
  • NPI 1588631733
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1114292331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 RIVER ST STE 3000",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802250",
            "telephone_number": "518-279-5700",
            "fax_number": "518-270-1323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-5064",
            "fax_number": "518-285-8192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1938 Curry Road",
            "address_2": "Senior Care Connection",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123033902",
            "country_code": "US",
            "telephone_number": "518-382-3290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 New Karner Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122053809",
            "country_code": "US",
            "telephone_number": "518-525-5064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Nott St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082425",
            "country_code": "US",
            "telephone_number": "518-525-5064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-525-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "433 River St Ste 3000",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Austin Mackenzie Jones, ATC
• Lisa Jones, PT
• Pamela Elizabeth Jones, LPN
• Rebecca Jones, LMSW
• Tratiena L Jones
• Paula Maureen Jordan, M.S.
• Joseph's House & Shelter, Inc.
• Rosemary Joslin, RN
• Mary Joy, OPTICIAN
• Judith a Purcell DDS PC

• Family Nurse Practitioner in Troy, NY
• Providers in Troy, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.