Individual provider Active NPI

Charlene Michele Jordan, FNP-BC, RN

  • Family Nurse Practitioner
  • Christiansburg, VA
National Provider Identifier
1679800643
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168446 Issued in VA
Practice address
2955 Market St
Suite 5
Christiansburg, VA 24073-6575
Phone
(540) 381-5291
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168446 VA Primary

Addresses

Primary practice location

2955 Market St
Suite 5
Christiansburg, VA 24073-6575

Mailing address

2013 Jefferson St SW
FL 2
Roanoke, VA 24014-2419
Phone (540) 982-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20121228000276 VA Practitioner - Nurse Practitioner 7810140712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2600 Research Dr a
Blacksburg, VA 24060
Phone (540) 381-5291

Hospital & facility affiliations

  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302
  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Oct 1, 2012 Accepting new patients

Locations

1710 Whitfield Dr
Bedford, VA 24523
Phone (540) 586-0636

2600 Research Center Dr
#A
Blacksburg, VA 24060
Phone (540) 381-5291

2955 Market St
Ste 5
Christiansburg, VA 24073
Phone (540) 381-5291

108 Houston St
Ste B
Lexington, VA 24450
Phone (540) 463-2227

1 Arh Ln
Ste 300
Low Moor, VA 24457
Phone (540) 862-6223

2013 Jefferson St SW
Fl 2
Roanoke, VA 24014
Phone (540) 982-0237

2013 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7377

390 S Main St
Ste 103
Rocky Mount, VA 24151
Phone (540) 483-7933

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1995 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-1983

Interoperability endpoints

  • Direct secure messaging: charlene.jordan@brcc.ikm.direct-ci.com

Organizations & group practices 2

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 8

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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1679800643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 JEFFERSON ST SW",
            "address_2": "FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-982-0237",
            "fax_number": "540-982-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 MARKET ST",
            "address_2": "SUITE 5",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736575",
            "telephone_number": "540-381-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHARLENE",
        "middle_name": "MICHELE",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.