Individual provider Active NPI

Michelle Margaret Jordan, DO

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1770874356
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1837 Issued in NV
Practice address
1020 S Boulder Hwy
Henderson, NV 89015-8533
Phone
(702) 791-9030
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1837 NV Primary

Addresses

Primary practice location

1020 S Boulder Hwy
Henderson, NV 89015-8533

Mailing address

1020 S Boulder Hwy
Henderson, NV 89015-8533
Phone (702) 791-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20141009000792 NV Practitioner - Family Practice 2961671474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Southern Nevada Health DistrictGroup PAC ID 3375542939, 20 clinicians

Practice addresses (Care Compare)

280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone (702) 759-1000

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5652AZMDFamily Medicine Physician
DO1837NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Health District Past Accepting new patients
Southern Nevada Health District Past Accepting new patients
Southern Nevada Health District PastSince Jun 14, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mjordan5931@direct.umcsn.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1770874356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158533",
            "telephone_number": "702-791-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158533",
            "telephone_number": "702-791-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MICHELLE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO1837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.