Jordan Richard Dodge, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.17030 Issued in OH

Practice address

600 N Pickaway St
Circleville, OH 43113-1447

Phone

(614) 566-8333

Fax

(614) 566-5189

NPI assigned

Jan 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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.

• Ohio Valley Physicians Inc

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1962433177

  OH

  Medicare reassignment Care Compare group
• Usacs Critical Care Medicine Services of Ohio, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Springfield, OH
  • NPI 1104560580

  OH

  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Ohio, LLC

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1043805690

  OH

  Medicare reassignment NPD
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1043970213
  Care Compare group
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Inez, KY
  • NPI 1104574102
  Care Compare group
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Eastern, KY
  • NPI 1164129599
  Care Compare group
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1316476336
  Care Compare group
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Grundy, VA
  • NPI 1578173837
  Care Compare group
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Paintsville, KY
  • NPI 1689091266
  Care Compare group
• Ohio Valley Physicians Inc

  • Family Medicine Physician
  • Florence, SC
  • NPI 1710418553
  Care Compare group
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Williamson, WV
  • NPI 1811470503
  Care Compare group
• Ohio Valley Physicians, Inc

  • Rural Health Clinic/Center
  • Logan, WV
  • NPI 1104220409
  Care Compare group

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Valley Physicians Inc 130 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1275923203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131447",
            "telephone_number": "614-566-8333",
            "fax_number": "614-566-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "JORDAN",
        "middle_name": "RICHARD",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Anne Dick, D.C.
• Joshua Thomas Dick, D.C.
• Diffenderfer Enterprises Inc
• Fred E Diffenderfer, D.C.
• Randall Dockery, LPCC
• Robert Dolby
• Lisette Dominguez, DO
• Donald H. Webster D.B.a. Easy Access Mobility
• Donna J Miller DMD Daniel F Green DDS & Jeremy D Crabtree DDS Inc
• Dorris Counseling & Consulting, LLC

• All providers in Circleville, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
• 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.

Verify at the official NPI Registry.