Individual provider Active NPI

Corinne Nicole Jordan, D.O.

  • Gynecologic Oncology Physician
  • San Antonio, TX
National Provider Identifier
1235335472
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
Q1836 Issued in TX
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

Updated by the provider on May 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
349441102MedicaidTX
P01547630OtherTXRAILROAD MEDICARE

Other names 1

  • Dr. Corinne Nicole Jeppson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201001981 TX Practitioner - Gynecological Oncology 8224212311 Reassigns benefits to 1 organization

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
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

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 Hospital, San Antonio, TX, CCN 450388
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017162MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Gynecologic Oncology CurrentSince Oct 1, 2015 Accepting new patients
Texas Oncology PA Gynecologic Oncology CurrentSince Oct 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.