Individual provider Active NPI

Chanda Renee Jordan, PA-C

  • Physician Assistant
  • Muncie, IN
National Provider Identifier
1871856062
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001664A Issued in IN
Practice address
2814 N Granville Ave
Muncie, IN 47303-2119
Phone
(765) 570-5014
NPI assigned
Jun 21, 2012
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 10001664A IN Primary

Addresses

Primary practice location

2814 N Granville Ave
Muncie, IN 47303-2119

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024

Other practice location 1

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3728

Other practice location 2

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjordan@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 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
I20120906000893 MI Practitioner - Physician Assistant 8224286737 Reassigns benefits to 2 organizations
I20140802000028 IN Practitioner - Physician Assistant 8224286737 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7113

1402 E County Rd S
Suite 2400
Indianapolis, IN 46227-0963
Phone (317) 497-6666

1440 E County Line Rd
Indianapolis, IN 46227-0963

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001664AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Jun 16, 2024 Accepting new patients
Ascension Medical Group Promed CurrentSince Jan 14, 2020 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Jun 16, 2024 Accepting new patients
Iu Health Medical Group, LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Promed Healthcare CurrentSince Jan 14, 2020 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 1, 2019 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 1, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2024 Accepting new patients
Workit Health Mi PLLC CurrentSince Mar 1, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

5819 Reliable Pkwy
Chicago, IL 60686

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2160 W 86th St
Ste 200
Indianapolis, IN 46260
Phone (941) 539-9889

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

2525 W University Ave
Ste 300
Muncie, IN 47303
Phone (765) 289-5420

1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

Interoperability endpoints

  • Direct secure messaging: cjordan@direct.iuhealth.org

Organizations & group practices 16

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.

View all 16

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1871856062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 N GRANVILLE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473032119",
            "telephone_number": "765-570-5014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W University Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033428",
            "country_code": "US",
            "telephone_number": "765-747-3728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462270963",
            "country_code": "US",
            "telephone_number": "317-887-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHANDA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001664A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjordan@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.