Individual provider Active NPI

Jordyn O'Rourke Werderitch, NP

  • Nurse Practitioner
  • Moline, IL
National Provider Identifier
1497398309
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9674-33 Issued in WI
Practice address
1100 36TH Ave
Moline, IL 61265-7127
Phone
(309) 743-6700
Fax
(309) 764-2042
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9674-33 WI Primary

Addresses

Primary practice location

1100 36TH Ave
Moline, IL 61265-7127

Mailing address

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

Other practice location 1

8701 W Watertown Plank Rd Fl 7
Milwaukee, WI 53226-3548
Phone (414) 955-0300

Other names 1

  • Miss Jordyn Elizabeth O'Rourke Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordyn.werderitchapn.p1@direct.cvmedpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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
I20191113001963 WI Practitioner - Nurse Practitioner 6709218720 Reassigns benefits to 1 organization
I20210520000900 IL Practitioner - Nurse Practitioner 6709218720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine PLLCGroup PAC ID 2264334721, 50 clinicians

Practice addresses (Care Compare)

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
70.54
Promoting interoperability
97
Improvement activities
40
Cost
75.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9674-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. CurrentSince Oct 23, 2019 Accepting new patients
Cardiovascular Medicine PLLC CurrentSince Jun 1, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: jwerderitch818091@direct.unitypoint.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 6

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1497398309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657127",
            "telephone_number": "309-743-6700",
            "fax_number": "309-764-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657127",
            "telephone_number": "309-743-6700",
            "fax_number": "309-764-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 W Watertown Plank Rd Fl 7",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263548",
            "country_code": "US",
            "telephone_number": "414-955-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERDERITCH",
        "first_name": "JORDYN",
        "middle_name": "O'ROURKE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9674-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordyn.werderitchapn.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1100 36th Ave",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612657127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "O'ROURKE",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.