Individual provider Active NPI

Jordan Semken, CRNP

  • Family Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1144757360
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017711 Issued in PA
Practice address
100 Mount Allen Dr Ste 109
Mechanicsburg, PA 17055-6171
Phone
(717) 988-8090
Fax
(717) 221-5408
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN638141 PA
Family Nurse Practitioner 363LF0000X SP017711 PA Primary

Addresses

Primary practice location

100 Mount Allen Dr Ste 109
Mechanicsburg, PA 17055-6171

Mailing address

100 Mount Allen Dr Ste 109
Mechanicsburg, PA 17055-6171
Phone (717) 988-8090

Other practice location 1

4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8508

Other identifiers 1

IdentifierTypeStateIssuer
103350613MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsemken56415@phsdirect.pinnaclehealth.org

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
I20170921003165 PA Practitioner - Nurse Practitioner 1456625946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN638141PAMDNurse Practitioner
SP017711PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Nurse Practitioner CurrentSince Jul 25, 2017 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 25, 2017 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner Past Accepting new patients

Locations

770 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 763-7070

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4000 Linglestown Rd
Linglestown, PA 17112
Phone (717) 231-8867

100 Mount Allen Dr
Ste 109
Mechanicsburg, PA 17055
Phone (717) 988-8090

Interoperability endpoints

  • Direct secure messaging: jsemken302722@upmc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1144757360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOUNT ALLEN DR STE 109",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556171",
            "telephone_number": "717-988-8090",
            "fax_number": "717-221-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOUNT ALLEN DR STE 109",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556171",
            "telephone_number": "717-988-8090",
            "fax_number": "717-221-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Linglestown Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171121017",
            "country_code": "US",
            "telephone_number": "717-231-8508",
            "fax_number": "717-231-8535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMKEN",
        "first_name": "JORDAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN638141",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103350613",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsemken56415@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "100 Mount Allen Dr Ste 109",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170556171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.