Stacy Ann Jordan, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS16125 Issued in FL

Practice address

2025 Indian Rocks Rd S
Largo, FL 33774-1035

Phone

(847) 289-9572

Fax

(847) 888-5469

NPI assigned

Jun 5, 2015

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Michigan State University College of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radial Health Southeast LLCGroup PAC ID 7113357476, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palm Garden Home Health Home health agency, Seminole, FL, CCN 108124
• Medical Services of America Home Health Home health agency, Clearwater, FL, CCN 107787
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
• Largo Medical Center Inpatient rehabilitation facility, Largo, FL, CCN 10T248
• HCA Florida St Petersburg Hospital Inpatient rehabilitation facility, CCN 10T180

Merit-based Incentive Payment System (MIPS)

Final score

96.82 of 100Reported as group

Quality

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: sjordan160382@direct.tgh.org

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.

• Radial Health Southeast LLC

  • Physical Medicine & Rehabilitation Physician
  • Navarre, FL
  • NPI 1174159891
  Medicare reassignment Care Compare group NPD
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1780080218

  FL

  Medicare reassignment NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Columbia Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
  • NPI 1053485698
  NPD (past)

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

• Galen of Florida, Inc

  dba HCA Florida St. Petersburg Hospital

  • Rehabilitation Hospital Unit
  • South Pasadena, FL
  • NPI 1295526259

  Inpatient rehabilitation facility

  Care Compare affiliation
• Galen of Florida, Inc.

  dba HCA Florida St. Petersburg Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1518911031

  Inpatient rehabilitation facility

  Care Compare affiliation
• Galencare, Inc.

  dba HCA Florida Northside Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945
  Care Compare affiliation
• Largo Medical Center, Inc.

  dba HCA Florida Largo Hospital

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation
• Largo Medical Center, Inc.

  dba HCA Florida Largo Hospital

  • Rehabilitation Hospital Unit
  • Largo, FL
  • NPI 1285803312

  Inpatient rehabilitation facility

  Care Compare affiliation
• Palm Breezes Home Health Services, LLC

  dba Palm Garden Home Health

  • Home Health Agency
  • Seminole, FL
  • NPI 1053718817
  Care Compare affiliation
• Traditional Home Care, Inc.

  dba Medical Services of America Home Health

  • Home Health Agency
  • Clearwater, FL
  • NPI 1508818626
  Care Compare affiliation

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1700266608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 LITTLE RD # 162",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551864",
            "telephone_number": "847-289-5727",
            "fax_number": "847-888-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "847-289-9572",
            "fax_number": "847-888-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101021920",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS16125",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101021920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kvon Jones
• Roderick C. Jones, D.C.
• Sara K Jones, APRN
• Scott C Jones, M.D.
• Shameka Jones, PHARM.D.
• Timothy Michael Jordan, D.O.
• Michele A Jorgenson, MD
• Jose a. Perez-Arce, MD
• Joseph C. Jackson, Jr., DDS, PA (Jackson Orthodontics)
• Karen Cherian Joseph, M.D.

• Physical Medicine & Rehabilitation Physician in Largo, FL
• Providers in Largo, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.