Jordan Hults, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD490783 Issued in PA

Practice address

18 W Main St
Mount Jewett, PA 16740-5128

Phone

(814) 778-2298

Fax

(814) 778-7344

NPI assigned

Apr 3, 2022

Last updated

Jul 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upmc KaneGroup PAC ID 7113814625, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
• Upmc Kane Hospital, Kane, PA, CCN 391318
• Upmc Cole Hospital, Coudersport, PA, CCN 391313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Upmc Kane

  • General Acute Care Hospital
  • Kane, PA
  • NPI 1861478307

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Upmc Kane

  • Medicare Defined Swing Bed Hospital Unit
  • Kane, PA
  • NPI 1467635375
  NPD

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

• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554

  Hospital

  Care Compare affiliation
• Charles Cole Memorial Hospital

  dba UPMC Cole

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Care Compare affiliation
• Upmc Home Healthcare of Central Pennsylvania

  dba Susquehanna Home Care and Hospice Services

  • Home Health Agency
  • Williamsport, PA
  • NPI 1881189256
  Care Compare affiliation
• Upmc Kane

  • Critical Access Hospital
  • Kane, PA
  • NPI 1588416382
  Care Compare affiliation
• Upmc Kane

  • General Acute Care Hospital
  • Kane, PA
  • NPI 1861478307
  Care Compare affiliation

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1942941182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W MAIN ST",
            "city": "MOUNT JEWETT",
            "state": "PA",
            "postal_code": "167405128",
            "telephone_number": "814-778-2298",
            "fax_number": "814-778-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W MAIN ST",
            "city": "MOUNT JEWETT",
            "state": "PA",
            "postal_code": "167405128",
            "telephone_number": "814-778-2298",
            "fax_number": "814-778-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTS",
        "first_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD490783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Paul Asp, PA-C
• Vanessa Asp, CRNP
• Tonya Leigh Aversa, CRNP
• Mt Jewett Area Ambulance Association Inc
• Olean General Hospital (Mt. Jewett Health Center RHC)
• Susan Sarah Panah, DO
• Linda D Rettger, M.D.

• Family Medicine Physician in Mount Jewett, PA
• Providers in Mount Jewett, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.