Active NPI
Jordan Alexandra Conner, FNP-BC
- Family Nurse Practitioner
- Ahoskie, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016588
- Practice address
- 120 Health Center Dr
Ahoskie, NC 27910-8161 - Phone
- (252) 332-3548
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016588 | NC | Primary |
Addresses
Primary practice location
120 Health Center Dr
Ahoskie, NC 27910-8161
Mailing address
120 Health Center Dr
Ahoskie, NC 27910-8161
Phone (252) 209-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929003726 | NC | Practitioner - Nurse Practitioner | 0648656561 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Roanoke Chowan Community Health Center Inc
Practice addresses (Care Compare)
120 Health Ctr Dr
Ahoskie, NC 27910-8161
Phone (252) 332-3548
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients |
Locations
120 Health Center Dr
Ahoskie, NC 27910
Phone (252) 209-0237
226 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3911
113 Hertford County High Rd
#B
Ahoskie, NC 27910
Phone (252) 209-3375
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
305 Beechwood Blvd
Murfreesboro, NC 27855
Phone (252) 398-3323
Interoperability endpoints
- jconner406304@direct.ecuhealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Colerain, NC
- NPI 1790851004
NC
-
- Federally Qualified Health Center (FQHC)
- Woodland, NC
- NPI 1023675113
-
- Federally Qualified Health Center (FQHC)
- Murfreesboro, NC
- NPI 1497776470
-
- Federally Qualified Health Center (FQHC)
- Ahoskie, NC
- NPI 1407881691
-
- Federally Qualified Health Center (FQHC)
- Creswell, NC
- NPI 1619342706
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1154056083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HEALTH CENTER DR",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279108161",
"telephone_number": "252-209-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEALTH CENTER DR",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279108161",
"telephone_number": "252-332-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "JORDAN",
"middle_name": "ALEXANDRA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.