Mary J Jordan, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A160873 Issued in IA

Practice address

4700 S Technopolis Dr Ste 2a
Sioux Falls, SD 57106-4247

Phone

(605) 740-0414

NPI assigned

Sep 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Encompass Wellness

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1033999057
  NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1265049878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S TECHNOPOLIS DR STE 2A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S TECHNOPOLIS DR STE 2A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064247",
            "telephone_number": "605-740-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley R Jones, MSW LCSWPIP
• Jill Alisa Jonnes-Kuca, LPC
• Orvar T Jonsson, MD
• Joseph Thomas Jordahl, M.D.
• Sadie Rae Jordahl, MSPT
• Jorde Chiropractic Clinic PLLC
• Joshua Jorde
• Anne M Jorgensen, OPTICIAN
• Mary Catherine Jorgensen, OPTICIAN
• Lisa Jorgenson

• Family Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.