Jordan Marie Morris, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

821 Bordeaux St
Chadron, NE 69337-2614

Phone

(402) 639-1232

NPI assigned

Jan 17, 2020

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 NE, SD2 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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Gordon Memorial HospitalGroup PAC ID 3072403575, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gordon Memorial Hospital District Hospital, Gordon, NE, CCN 281358

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/gordon-7f82821b

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.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment Care Compare group
• Gordon Memorial Hospital

  • Rural Health Clinic/Center
  • Rushville, NE
  • NPI 1033203567
  Care Compare group NPD
• Gordon Memorial Hospital

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849
  Medicare reassignment
• Gordon Memorial Hospital

  • General Practice Physician
  • Gordon, NE
  • NPI 1326182494
  NPD
• Gordon Memorial Hospital

  • Rural Health Clinic/Center
  • Gordon, NE
  • NPI 1295828713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gordon Memorial Hospital

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849
  Care Compare affiliation

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1659901601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N ASH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 BORDEAUX ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372614",
            "telephone_number": "402-639-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Montes
• Mary K Moody, PA-C
• Raquel Moore, BS PSYCHOLOGY
• Desiree Dawn Moreland, PHARM.D., R.P.
• Mallory K Morrell, ATC
• Rachael Lynn Munguia
• Melissa A Nicholson
• Madison Elisabeth Nitsch, OTR/L, LAT, ATC
• Renee Nixon
• Natalie Irene Noecker

• Physician Assistant in Chadron, NE
• Providers in Chadron, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.