Active NPI
Corinne Nicole Jordan, D.O.
- Gynecologic Oncology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- Q1836
- Practice address
- 5206 Research Dr
San Antonio, TX 78240-5251 - Phone
- (210) 595-5300
- Fax
- (210) 614-8740
- NPI assigned
- Jun 25, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101017162 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | OS11306 | FL | |
| Gynecologic Oncology Physician | 207VX0201X | Q1836 | TX | Primary |
Addresses
Primary practice location
5206 Research Dr
San Antonio, TX 78240-5251
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349441102 | Medicaid | TX | |
| P01547630 | Other | TX | RAILROAD MEDICARE |
Other names 1
- Dr. Corinne Nicole Jeppson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1448 Common St
New Braunfels, TX 78130-3162
Phone (830) 643-1762
18707 Hardy Oak Blvd
Suite 320
San Antonio, TX 78258-4890
Phone (210) 545-6972
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456
2130 NE Loop
410 Suite 100
San Antonio, TX 78217-4660
Phone (210) 656-7177
5206 Research Dr
San Antonio, TX 78240-5251
Phone (210) 595-5300
7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313
PO Box
Suite 911242
Dallas, TX 75391-1242
Hospital & facility affiliations
- Methodist Hospital
- Peterson Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017162 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Gynecologic Oncology | Current | Accepting new patients |
| Texas Oncology PA | Gynecologic Oncology | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
5206 Research Dr
San Antonio, TX 78240
18707 Hardy Oak Blvd
Ste 320
San Antonio, TX 78258
Phone (210) 545-6972
4411 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 595-5326
Interoperability endpoints
- corinne.jeppson@txo.ikm.direct-ci.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1235335472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5206 RESEARCH DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405251",
"telephone_number": "210-595-5300",
"fax_number": "210-614-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CORINNE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101017162",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS11306",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TX",
"license": "Q1836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349441102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01547630",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORINNE",
"last_name": "JEPPSON",
"middle_name": "NICOLE",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.