Active NPI
James C Jordan, MD
- Family Medicine Physician
- Prairie Du Chien, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23393
- Practice address
- 37868 US Highway 18
Prairie Du Chien, WI 53821-8416 - Phone
- (608) 357-2430
- NPI assigned
- Feb 17, 2006
- Last updated
- Jun 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23393 | NE | Primary |
Addresses
Primary practice location
37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Mailing address
37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2430
Other practice location 1
1690 Highway 160 W
Fort Mill, SC 29708-8024
Phone (803) 547-7541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47042628511 | Medicaid | NE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjordan12598@direct.monroeclinic.org | Direct | The Monroe Clinic, Inc. |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800
2734 N 61St St
Omaha, NE 68104-4020
Phone (402) 553-0222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 396 | NE | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Assoc Inc | Family Medicine | Current | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Internal Medicine Consultants PC | Past | Accepting new patients | |
| Memorial Community Hospital Corporation | Past | Accepting new patients |
Locations
603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121
3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316
2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270
2771 Solution Ctr
Chicago, IL 60677
810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116
16101 Evans St
Omaha, NE 68116
Phone (402) 717-9700
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
2734 N 61st St
Omaha, NE 68104
Phone (402) 553-0222
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
Interoperability endpoints
- jjordan733529@direct.emplifyhealth.org
Organizations & group practices 7
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.
-
dba Crossing Rivers Health
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
dba Crossing Rivers Health Clinic
- Family Medicine Physician
- Prairie Du Chien, WI
- NPI 1659709830
-
dba CHI Health Clinic
- Internal Medicine Physician
- Omaha, NE
- NPI 1154680700
Family Medicine
-
- Medical Specialty Clinic/Center
- Blair, NE
- NPI 1578624433
-
dba Cottonwood Rural Health Clinic
- Rural Health Clinic/Center
- Tekamah, NE
- NPI 1952487589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lasting Hope Recovery Center
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
dba CHI Health Creighton University Medical Center-Bergan Mercy
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1811962574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37868 US HIGHWAY 18",
"city": "PRAIRIE DU CHIEN",
"state": "WI",
"postal_code": "538218416",
"telephone_number": "608-357-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37868 US HIGHWAY 18",
"city": "PRAIRIE DU CHIEN",
"state": "WI",
"postal_code": "538218416",
"telephone_number": "608-357-2430"
}
],
"practiceLocations": [
{
"address_1": "1690 Highway 160 W",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297088024",
"country_code": "US",
"telephone_number": "803-547-7541",
"fax_number": "803-548-0122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "JAMES",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "23393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47042628511",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jjordan12598@direct.monroeclinic.org",
"affiliation": "Y",
"affiliationName": "The Monroe Clinic, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jjordan12598@direct.monroeclinic.org",
"address_1": "515 22nd Avenue",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"address_1": "37868 US Highway 18",
"city": "Prairie Du Chien",
"state": "WI",
"country_code": "US",
"postal_code": "538218416",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "37868 US Highway 18",
"city": "Prairie Du Chien",
"state": "WI",
"country_code": "US",
"postal_code": "538218416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prairie Du Chien, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.