Individual provider Active NPI

Jordan Beasley

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1124669643
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3138 Issued in OK
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

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20231220000194 DC Practitioner - Physician Assistant 4385072156 Reassigns benefits to 3 organizations
I20251210001377 CT Practitioner - Physician Assistant 4385072156 Reassigns benefits to 1 organization
I20251212003018 MD Practitioner - Physician Assistant 4385072156 Reassigns benefits to 1 organization
I20251212003189 TX Practitioner - Physician Assistant 4385072156 Reassigns benefits to 2 organizations
I20251216004377 VA Practitioner - Physician Assistant 4385072156 Reassigns benefits to 1 organization

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
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

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 Hospital, Rockville, MD, CCN 210057

Merit-based Incentive Payment System (MIPS)

Final score
72.91 of 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7414CTMDClinical Social Worker
3138OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Observation Services LLC CurrentSince Dec 13, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 20, 2026 Accepting new patients
Texas Post Acute Specialists, PA CurrentSince Nov 22, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 20, 2026 Accepting new patients
Post Acute Specialists, LLC CurrentSince Nov 22, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.