Individual provider Active NPI

Jordan Christine Card Becker, PA

  • Physician Assistant
  • Centennial, CO
National Provider Identifier
1710478391
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0005948 Issued in CO
Practice address
8008 E Arapahoe CT Ste 200
Centennial, CO 80112-6839
Phone
(303) 761-0906
Fax
(303) 761-0907
NPI assigned
May 20, 2018
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0005948 CO Primary

Addresses

Primary practice location

8008 E Arapahoe CT Ste 200
Centennial, CO 80112-6839

Mailing address

8008 E Arapahoe CT Ste 200
Centennial, CO 80112-6839
Phone (303) 761-0906

Other names 1

  • Jordan Christine Card Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CO2 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

Enrollment IDStateProvider typePAC IDDetails
I20190218001003 VA Practitioner - Physician Assistant 1951649938 Reassigns benefits to 1 organization
I20200304001606 CO Practitioner - Physician Assistant 1951649938 Reassigns benefits to 1 organization

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
Colorado Center for Dermatology PLLCGroup PAC ID 6204134372, 9 clinicians

Practice addresses (Care Compare)

8008 E Arapahoe CT
Suite 200
Centennial, CO 80112-6839
Phone (303) 761-0906

916 S Main St
Unit 201
Longmont, CO 80501-6673
Phone (303) 761-0906

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
80
Promoting interoperability
84
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0005948COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Laser Center at Harvard Park, PLLC PastSince Feb 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcbecker@coloradodermatology.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1710478391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 E ARAPAHOE CT STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126839",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 E ARAPAHOE CT STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126839",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JORDAN",
        "middle_name": "CHRISTINE CARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-20",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0005948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "CARD",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.