Individual provider Active NPI

Frank C Jordaens Jr., NP

  • Nurse Practitioner
  • Hopewell, VA
National Provider Identifier
1972599447
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024102283 Issued in VA
Practice address
815 W Poythress St
Hopewell, VA 23860-2532
Phone
(804) 520-1110
Fax
(804) 526-3105
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024102283 VA
Nurse Practitioner 363L00000X 0024102283 VA Primary

Addresses

Primary practice location

815 W Poythress St
Hopewell, VA 23860-2532

Mailing address

815 W Poythress St
Hopewell, VA 23860-2532
Phone (804) 458-3429

Other identifiers 1

IdentifierTypeStateIssuer
010297532MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000850 VA Practitioner - Nurse Practitioner 8527147628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024102283VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1972599447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W POYTHRESS ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602532",
            "telephone_number": "804-458-3429",
            "fax_number": "804-541-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W POYTHRESS ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602532",
            "telephone_number": "804-520-1110",
            "fax_number": "804-526-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAENS",
        "first_name": "FRANK",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024102283",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024102283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010297532",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

Verify at the official NPI Registry.