Active NPI
Jordan Beasley
- Physician Assistant
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3138
- Practice address
- 9901 Medical Center Dr
Rockville, MD 20850-3357 - Phone
- (240) 826-6000
- NPI assigned
- Oct 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3138 | OK | Primary |
Addresses
Primary practice location
9901 Medical Center Dr
Rockville, MD 20850-3357
Mailing address
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 748-7585
Other practice location 1
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, CT, MD, TX, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3030 Park Ave
Bridgeport, CT 06604-1126
Phone (203) 374-5611
59 Harrington CT
Colchester, CT 06415-1207
Phone (860) 537-2339
9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7578
Hospital & facility affiliations
- Adventist Healthcare Shady Grove Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.91 of 100
- Quality
- 50.88
- Improvement activities
- 40
- Cost
- 69.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7414 | CT | MD | Clinical Social Worker |
| 3138 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mep Observation Services LLC | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Texas Post Acute Specialists, PA | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Post Acute Specialists, LLC | Current | Accepting new patients |
Locations
59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339
109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900
5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-0013
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407
8611 Main St
Needville, TX 77461
Phone (979) 793-4256
9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700
519 9th Ave N
Texas City, TX 77590
Phone (409) 949-9499
815 Peach St
Tomball, TX 77375
Phone (281) 351-5443
9825 S Jordan Gtwy
Sandy, UT 84070
Interoperability endpoints
- jbeasley221469@ahs.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
CT, DC, MD, VA
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
-
- Internal Medicine Physician
- Balch Springs, TX
- NPI 1609314392
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1740021625
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1124669643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-748-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503357",
"telephone_number": "240-826-6000"
}
],
"practiceLocations": [
{
"address_1": "1923 S Utica Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741046520",
"country_code": "US",
"telephone_number": "918-744-2645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEASLEY",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-06",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "3138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.