Individual provider Active NPI

Kaitlin Eileen Jordan, PA-C

  • Surgical Physician Assistant
  • Springfield, MA
National Provider Identifier
1407599756
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA101449 Issued in MA
Practice address
2 Medical Center Dr Ste 309
Springfield, MA 01107-1271
Phone
(413) 794-8020
Fax
(413) 794-2165
NPI assigned
Apr 14, 2022
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA101449 MA Primary

Addresses

Primary practice location

2 Medical Center Dr Ste 309
Springfield, MA 01107-1271

Mailing address

280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700

Other practice location 1

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-5022

Other practice location 2

471 Center St
Ludlow, MA 01056-2733
Phone (413) 625-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220822002657 CT Practitioner - Physician Assistant 6709269822
I20250530000691 MA Practitioner - Physician Assistant 6709269822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

2 Medical Ctr Dr
Springfield, MA 01107-1270
Phone (413) 794-8020

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

471 Ctr St
Ludlow, MA 01056-2733
Phone (413) 625-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince May 27, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince May 27, 2025 Accepting new patients
Baystate Medical Practices, Inc Surgical CurrentSince Dec 3, 2025 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

471 Center St
Ludlow, MA 01056
Phone (413) 625-3500

2 Medical Center Dr
Springfield, MA 01107
Phone (413) 781-5735

2 Medical Center Dr
Ste 309
Springfield, MA 01107
Phone (413) 794-5363

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: katilyn.jordan@xdr.hhchealthdirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1407599756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR STE 309",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071271",
            "telephone_number": "413-794-8020",
            "fax_number": "413-794-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-5022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "471 Center St",
            "address_purpose": "LOCATION",
            "city": "Ludlow",
            "state": "MA",
            "postal_code": "010562733",
            "country_code": "US",
            "telephone_number": "413-625-3500",
            "fax_number": "413-625-3655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KAITLIN",
        "middle_name": "EILEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA101449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.