Individual provider Active NPI

Jordan Matthew McNeil, PA

  • Physician Assistant
  • Richmond, KY
National Provider Identifier
1538643978
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2654 Issued in KY
Practice address
1054 Center Dr Ste 2
Richmond, KY 40475-3851
Phone
(859) 625-5242
Fax
(859) 625-5279
NPI assigned
Sep 21, 2018
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2654 KY
Physician Assistant 363A00000X PA2654 KY Primary

Addresses

Primary practice location

1054 Center Dr Ste 2
Richmond, KY 40475-3851

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

1100 Richmond Rd
Irvine, KY 40336-7231
Phone (606) 723-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210302002944 KY Practitioner - Physician Assistant 3971830969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Clinics LLCGroup PAC ID 2466592688, 12 clinicians

Practice addresses (Care Compare)

1054 Ctr Dr
Richmond, KY 40475-3851

1100 Richmond Rd
Irvine, KY 40336-7231
Phone (606) 723-7706

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

3581 Harrodsburg Rd
Lexington, KY 40513-1140

749 Irvine Rd
Clay City, KY 40312-9732
Phone (606) 663-2153

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Jul 23, 2021 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Mercy Health Clinics, LLC CurrentSince Apr 11, 2021 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Apr 11, 2021 Accepting new patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Jul 23, 2021 Accepting new patients
Mercy Health Clinics, LLC Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

749 Irvine Rd
Clay City, KY 40312
Phone (606) 663-2153

1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1054 Center Dr
Ste 2
Richmond, KY 40475
Phone (859) 625-5242

Interoperability endpoints

  • Direct secure messaging: jmcneil851297@direct.bsmhealth.org
  • Direct secure messaging: jordanmcneil@kysjhspe.allscriptsdirect.net

Organizations & group practices 6

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1538643978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 CENTER DR STE 2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753851",
            "telephone_number": "859-625-5242",
            "fax_number": "859-625-5279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "KY",
            "postal_code": "403367231",
            "country_code": "US",
            "telephone_number": "606-723-7771",
            "fax_number": "606-726-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "JORDAN",
        "middle_name": "MATTHEW",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2654",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.