Active NPI
Brooke Alexis Jordan, APRN
- Nurse Practitioner
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A175915
- Practice address
- 4500 Utica Ridge Rd
Bettendorf, IA 52722-1626 - Phone
- (563) 742-5000
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A175915 | IA | Primary |
Addresses
Primary practice location
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Mailing address
4313 11TH Street a
Moline, IL 61265-6816
Phone (309) 428-3794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231115002091 | IL | Practitioner - Nurse Practitioner | 2163879982 | Reassigns benefits to 1 organization |
| I20231117002702 | IA | Practitioner - Nurse Practitioner | 2163879982 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Medical Center
Practice addresses (Care Compare)
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-3180
700 E Uinversity Ave
Des Moines, IA 50316-2302
Phone (515) 263-5120
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Healthcare | Current | Accepting new patients | |
| Unity Healthcare | Nurse Practitioner | Current | Accepting new patients |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Nurse Practitioner | Current | Accepting new patients |
| Trinity Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Trinity Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Central Iowa Hospital Corporation | Current | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- bjordan132789@direct.unitypoint.org
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
IL, Nurse Practitioner
-
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- Emergency Medicine Physician
- Des Moines, IA
- NPI 1770871824
Nurse Practitioner
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Rural Health Clinic/Center
- Muscatine, IA
- NPI 1447802400
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
Hospital
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1508649153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4313 11TH STREET A",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656816",
"telephone_number": "309-428-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 UTICA RIDGE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221626",
"telephone_number": "563-742-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BROOKE",
"middle_name": "ALEXIS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A175915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.