Individual provider Active NPI

Jordan Marie Mears, NP

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1437847811
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024186572 Issued in VA
Practice address
4817 Algonac Ave
Virginia Beach, VA 23455-2201
Phone
(757) 969-8845
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024186572 VA Primary

Addresses

Primary practice location

4817 Algonac Ave
Virginia Beach, VA 23455-2201

Mailing address

4817 Algonac Ave
Virginia Beach, VA 23455-2201

Other practice location 1

24430 Stone Springs Blvd Ste 515
Dulles, VA 20166-2268
Phone (844) 893-0012

Other practice location 2

198 Roper Mountain Road Ext Ste B
Greenville, SC 29615-6912
Phone (844) 893-0012

Other practice location 3

843 Fairview Ave Ste B5
Bowling Green, KY 42101-4975
Phone (844) 893-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20230717000601 VA Practitioner - Nurse Practitioner 5890155329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

6161 Kempsville Cir
Suite 205
Norfolk, VA 23502-3932
Phone (844) 893-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024186572VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twelvestone Infusion Centers LLC Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Peninsula ASC, LLC Past Accepting new patients

Locations

24430 Stone Springs Blvd
Ste 515
Dulles, VA 20166
Phone (703) 737-6001

580 City Center Blvd
Ste 3
Newport News, VA 23606
Phone (757) 782-4886

6161 Kempsville Cir
Ste 205
Norfolk, VA 23502

1501 Maple Ave
Ste 206
Richmond, VA 23226

2965 Colonnade Dr
Ste 140
Roanoke, VA 24018
Phone (540) 400-8777

2965 Colonnade Dr
Fl 1
Roanoke, VA 24018

46440 Benedict Dr
Ste 111
Sterling, VA 20164
Phone (703) 444-9555

1910 Opitz Blvd
Ste A
Woodbridge, VA 22191

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1437847811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 ALGONAC AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 ALGONAC AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552201",
            "telephone_number": "757-969-8845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24430 Stone Springs Blvd Ste 515",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662268",
            "country_code": "US",
            "telephone_number": "844-893-0012",
            "fax_number": "615-278-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 Roper Mountain Road Ext Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156912",
            "country_code": "US",
            "telephone_number": "844-893-0012",
            "fax_number": "615-278-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "843 Fairview Ave Ste B5",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421014975",
            "country_code": "US",
            "telephone_number": "844-893-0012",
            "fax_number": "615-278-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEARS",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024186572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.