Individual provider Active NPI

Jordan Kathleen Bett, PA-C

  • Medical Physician Assistant
  • East Stroudsburg, PA
National Provider Identifier
1982414116
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA007455 Issued in PA
Practice address
500 Plaza CT Ste B
East Stroudsburg, PA 18301-8262
Phone
(570) 426-2301
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA007455 PA Primary
Physician Assistant 363A00000X 032940-01 NY

Addresses

Primary practice location

500 Plaza CT Ste B
East Stroudsburg, PA 18301-8262

Mailing address

87 Ridgewood Ave
Selden, NY 11784-3537
Phone (631) 560-5261

Other practice location 1

235 N Belle Mead Rd
East Setauket, NY 11733-3538
Phone (631) 450-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20250224001619 NY Practitioner - Physician Assistant 2466972237 Reassigns benefits to 1 organization
I20251209002398 PA Practitioner - Physician Assistant 2466972237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

Practice addresses (Care Compare)

1240 S Cedar Crest Blvd
308 LVPG General and Trauma Surgery
Allentown, PA 18103-6373
Phone (610) 402-1350

380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032940-01NYMDPhysician Assistant
OA007455PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Physician Assistant Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 8, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 8, 2025 Accepting new patients

Locations

1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175

500 Plaza Ct
Ste B
East Stroudsburg, PA 18301
Phone (570) 421-8526

175 E Brown St
Ste 102
East Stroudsburg, PA 18301
Phone (570) 422-6666

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

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": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1982414116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 RIDGEWOOD AVE",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843537",
            "telephone_number": "631-560-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLAZA CT STE B",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018262",
            "telephone_number": "570-426-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 N Belle Mead Rd",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117333538",
            "country_code": "US",
            "telephone_number": "631-450-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETT",
        "first_name": "JORDAN",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA007455",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "032940-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.