Individual provider Active NPI

Jordan Cutts

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1982189064
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009594 Issued in CA
Practice address
6730 N West Ave
Fresno, CA 93711-4301
Phone
(559) 439-3000
Fax
(559) 439-3004
NPI assigned
Sep 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009594 CA Primary

Addresses

Primary practice location

6730 N West Ave
Fresno, CA 93711-4301

Mailing address

6730 N West Ave
Fresno, CA 93711-4301
Phone (559) 439-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan@boswell.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190305000504 CA Practitioner - Nurse Practitioner 1658610969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Scott Boswell, MD a Medical CorporationGroup PAC ID 4880849371, 14 clinicians

Practice addresses (Care Compare)

5709 N W Ave
Fresno, CA 93711-2366
Phone (559) 439-3000

6730 N W Ave
Fresno, CA 93711-4301
Phone 5594393000215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95038752CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J. Scott Boswell, MD a Medical Corporation CurrentSince Jun 24, 2019 Accepting new patients

Locations

5701 N West Ave
Fresno, CA 93711
Phone (559) 439-3000

6730 N West Ave
Ste 115
Fresno, CA 93711
Phone (559) 261-9320

5709 N West Ave
Fresno, CA 93711
Phone (559) 243-9990

6730 N West Ave
Fresno, CA 93711
Phone (559) 439-3000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1982189064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan@boswell.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6730 N West Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937114301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.