Individual provider Active NPI

James C Jordan, MD

  • Family Medicine Physician
  • Prairie Du Chien, WI
National Provider Identifier
1811962574
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23393 Issued in NE
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 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

IdentifierTypeStateIssuer
47042628511MedicaidNE

Electronic endpoints 3

TypeEndpointUseAffiliation
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, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040126000018 IA Practitioner - Family PracticePractitioner - Emergency Medicine 9931001377 Reassigns benefits to 1 organization
I20050714000296 NE Practitioner - Family Practice 9931001377 Reassigns benefits to 1 organization
I20180109003259 WI Practitioner - Family PracticePractitioner - Emergency Medicine 9931001377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

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

LicenseStateTypeSpecialty
396NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Family Medicine CurrentSince Aug 20, 2024 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Aug 20, 2024 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Dec 4, 2017 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc Family Medicine CurrentSince Dec 4, 2017 Accepting new patients
Alegent Creighton Clinic Family Medicine PastSince Aug 20, 2024 Accepting new patients
Internal Medicine Consultants PC PastSince Aug 11, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.