Jennifer L Jordan, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2286670 Issued in MA

Practice address

800 College Hwy
Southwick, MA 01077

Phone

(413) 360-8303

Fax

(413) 225-8397

NPI assigned

Jan 30, 2015

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, ME2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Down East Community Hospital Hospital, Machias, ME, CCN 201311

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

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.

• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Medicare reassignment NPD
• Jordan Healthcare Center, LLC

  • General Practice Physician
  • Southwick, MA
  • NPI 1215673702
  NPD Authorized official
• Down East Community Hospital

  • General Acute Care Hospital
  • Machias, ME
  • NPI 1689670242
  Medicare reassignment
• Down East Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Machias, ME
  • NPI 1336587542
  NPD
• Down East Community Hospital

  dba DECH Family Practic

  • Multi-Specialty Clinic/Center
  • Calais, ME
  • NPI 1972015774
  NPD
• Down East Community Hospital

  dba Milbridge Medical Center

  • Family Medicine Physician
  • Milbridge, ME
  • NPI 1851397475
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1891185674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COLLEGE HWY",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "01077",
            "telephone_number": "413-360-8303",
            "fax_number": "413-225-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLLEGE HWY",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "01077",
            "telephone_number": "413-360-8303",
            "fax_number": "413-225-8397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Belchertown",
            "state": "MA",
            "postal_code": "010079604",
            "country_code": "US",
            "telephone_number": "413-695-6774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2286670",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2286670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891185674",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• International Health Solutions, Inc
• Jerome M. Azia D.D.S.,P.C.
• Catherine Johnson, RN, BSN, MSN
• Kelsey L Johnstone
• Jordan Healthcare Center, LLC
• Constance K. Kellogg, LICSW
• Christianna Keough, DPT
• Kimberly Miller
• Arthur G King Jr., MD
• Walter A Kwarcinski Jr.

• Family Nurse Practitioner in Southwick, MA
• Providers in Southwick, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.

Verify at the official NPI Registry.