Jennifer Jordalen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

61367330 Issued in WA

Practice address

2219 Rimland Dr Ste 301
Bellingham, WA 98226-8759

Phone

(832) 741-2693

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Dermatology and Skin Cancer CenterGroup PAC ID 8022107648, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.03 of 100Reported as group

Quality

81.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jenjordalen@dermvalley.emadirect.md

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.

• Valley Dermatology and Skin Cancer Center

  • Dermatology Physician
  • Spokane Valley, WA
  • NPI 1972791226
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1659027753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 RIMLAND DR STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 RIMLAND DR STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268759",
            "telephone_number": "832-741-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDALEN",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "61367330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sylvia Jones, ARNP
• Taylor Jones
• Tracy Diane Jones
• Valeria Jones, LICSW
• Tracey Leigh-Ann Jongema, LMT
• Derek Joseph Jordan
• Jennifer Louise Jordan, L.M.P.
• Skyler Jordan
• John Jordy, LMHC, M.ED.
• Bruce H Jorgensen, D.C.

• Medical Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.