NPIMap

Individual provider Active NPI

Jordan M Abel, MD

  • Family Medicine Physician
  • Rochester, WA
National Provider Identifier
1821438029
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60587034 Issued in WA
Practice address
18313 Paulson St SW
Rochester, WA 98579-9262
Phone
(360) 827-8400
Fax
(360) 273-7301
NPI assigned
Jul 2, 2013
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 MD60587034 WA Primary

Addresses

Primary practice location

18313 Paulson St SW
Rochester, WA 98579-9262

Mailing address

PO Box 3360
Portland, OR 97208-3360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jabel289868@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001951 WA Practitioner - Family Practice 5092947176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - WashingtonGroup PAC ID 2365427556, 9 clinicians

Practice addresses (Care Compare)

18313 Paulson St SW
Suite a
Rochester, WA 98579-9262
Phone (360) 827-8400

931 S Market Blvd
Chehalis, WA 98532-3423
Phone (360) 767-6300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60587034WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Aug 1, 2016 Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 16, 2020 Accepting new patients

Locations

931 S Market Blvd
Chehalis, WA 98532
Phone (360) 767-6300

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

18313 Paulson St SW
Rochester, WA 98579
Phone (360) 273-8818

18313 Paulson St SW
Ste A
Rochester, WA 98579
Phone (360) 273-8818

Interoperability endpoints

  • Direct secure messaging: jabel289868@wm.providencedirect.org

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.

Hospital & facility affiliations 5

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1821438029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18313 PAULSON ST SW",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985799262",
            "telephone_number": "360-827-8400",
            "fax_number": "360-273-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEL",
        "first_name": "JORDAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60587034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jabel289868@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18313 Paulson St SW",
            "city": "Rochester",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985799262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, WA

Sources for this page

Verify at the official NPI Registry.