Individual provider Active NPI

Jordan Staats, PA-C

  • Physician Assistant
  • Garland, TX
National Provider Identifier
1881087294
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09670 Issued in TX
Practice address
7217 Telecom Pkwy Ste 100a
Garland, TX 75044-2203
Phone
(469) 800-2530
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 PA09670 TX Primary

Addresses

Primary practice location

7217 Telecom Pkwy Ste 100a
Garland, TX 75044-2203

Mailing address

3535 High Mesa Dr
Dallas, TX 75234-7943
Phone (903) 276-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150423001282 TX Practitioner - Physician Assistant 8628396686 Reassigns benefits to 4 organizations
I20190104002641 CA Practitioner - Physician Assistant 8628396686 Reassigns benefits to 2 organizations
I20260209004085 OK Practitioner - Physician Assistant 8628396686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
Central Valley Emergency MedicineGroup PAC ID 7113412560, 26 clinicians

Practice addresses (Care Compare)

10501 E 91St St
Tulsa, OK 74133-5790
Phone (918) 307-6130

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

Hospital & facility affiliations

  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56208CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince May 3, 2021 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Dec 31, 2025 Accepting new patients
Texas Health Urgent Care CurrentSince May 3, 2021 Accepting new patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Apr 1, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince May 13, 2019 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Central Valley Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Jan 1, 2019 Accepting new patients
Texas Health Urgent Care Physician Assistant Current Accepting new patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Apr 1, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince May 13, 2019 Accepting new patients
Mercy Kansas Communities, Inc Past Accepting new patients

Locations

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 242-6860

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7217 Telecom Pkwy
Ste 100A
Garland, TX 75044
Phone (469) 800-2530

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: jstaats478128@direct.sw.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1881087294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 HIGH MESA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347943",
            "telephone_number": "903-276-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 TELECOM PKWY STE 100A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442203",
            "telephone_number": "469-800-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "JORDAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.