Samantha M Jordan, P.A-C, MMS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0003956 Issued in CO

Practice address

8580 Scarborough Dr
Suite 225
Colorado Springs, CO 80920-7583

Phone

(719) 531-5400

Fax

(719) 531-9545

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rational Dermatology, PCGroup PAC ID 4385775204, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.08 of 100Reported as group

Quality

81.46

Improvement activities

40

Cost

71.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Rational Dermatology, PC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1548592363
  Medicare reassignment Care Compare group
• Rational Dermatology, PC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1245827476
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1982702239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR",
            "address_2": "SUITE 225",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207583",
            "telephone_number": "719-531-5400",
            "fax_number": "719-531-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR",
            "address_2": "SUITE 225",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207583",
            "telephone_number": "719-531-5400",
            "fax_number": "719-531-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.A-C, MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "2544",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2544",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "2544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Jordan, PA-C
• Jermecia Alea Faye Jordan
• K'Mijah Jordan
• Kathryn L Jordan, RMT
• Malcolm Bernard Jordan
• Tina Marie Jordan, LPC, RPT
• Torrie Jordan, LCSW
• William T. Jordeth, DDS
• Jordyn Lee Counseling LLC
• Christopher Jorgensen, M.D.

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.