Individual provider Active NPI

Craig Jorden Jr.

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1184218695
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11011653 Issued in FL
Practice address
412 E Madison St Ste 1012
Tampa, FL 33602-4618
Phone
(813) 364-4465
Fax
(813) 359-1886
NPI assigned
Feb 24, 2021
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 11011653 FL
Mental Illness Community Based Residential Treatment Facility 320800000X 11011653 FL
Nurse Practitioner 363L00000X 11011653 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11011653 FL Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 11011653 FL
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X 11011653 FL
Child & Adolescent Psychiatry Physician 2084P0804X 11011653 FL

Addresses

Primary practice location

412 E Madison St Ste 1012
Tampa, FL 33602-4618

Mailing address

455 N US Highway 41 Unit 1126
Ruskin, FL 33575-5246
Phone (813) 364-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210430000074 FL Practitioner - Nurse Practitioner 4789093964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

312 Shell Manor Dr
Ruskin, FL 33570-5005
Phone (813) 497-0497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011653FLMDAssisted Living Facility (Mental Illness)

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery From Society LLC. Psychiatric/Mental Health CurrentSince Jan 9, 2022 Accepting new patients
Florida Psychiatry Group, PLLC Psychiatric/Mental Health CurrentSince Apr 6, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Child & Adolescent Psychiatry CurrentSince Apr 1, 2021 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

455 N US Highway 41
Unit 1126
Ruskin, FL 33575

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

410 S Ware Blvd
Ste 607
Tampa, FL 33619
Phone (305) 209-4966

412 E Madison St
Ste 1012
Tampa, FL 33602
Phone (813) 364-2064

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1184218695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N US HIGHWAY 41 UNIT 1126",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335755246",
            "telephone_number": "813-364-4465",
            "fax_number": "813-359-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E MADISON ST STE 1012",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024618",
            "telephone_number": "813-364-4465",
            "fax_number": "813-359-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDEN",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "11011653",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "11011653",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11011653",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11011653",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11011653",
            "primary": false
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "FL",
            "license": "11011653",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "11011653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.