Jerome Jordan Sr., CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP.0035744 Issued in OH

Practice address

1205 Broadway
Lorain, OH 44052-3409

Phone

(769) 610-2804

NPI assigned

Feb 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lorain County Health and Dentistry 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerome.jordan.p11@direct.loraincountyhealth.nextgenshare.com

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.

• Lorain County Health & Dentistry

  • Clinic/Center
  • Lorain, OH
  • NPI 1215194527

  OH

  Medicare reassignment Care Compare group NPD
• Lorain County Health & Dentistry

  • Community/Retail Pharmacy
  • Lorain, OH
  • NPI 1871304550
  Care Compare group NPD
• Lorain County Health & Dentistry

  • Federally Qualified Health Center (FQHC)
  • North Ridgeville, OH
  • NPI 1437902384
  Care Compare group
• Lorain County Health & Dentistry

  • Federally Qualified Health Center (FQHC)
  • Lorain, OH
  • NPI 1598930877
  Care Compare group
• Lorain County Health & Dentistry

  • Community/Retail Pharmacy
  • Elyria, OH
  • NPI 1619687787
  Care Compare group
• Lorain County Health & Dentistry

  • Federally Qualified Health Center (FQHC)
  • Elyria, OH
  • NPI 1720485659
  Care Compare group
• Lorain County Health & Dentistry

  • Federally Qualified Health Center (FQHC)
  • Lorain, OH
  • NPI 1790251700
  Care Compare group
• Lorain County Health & Dentistry

  • Federally Qualified Health Center (FQHC)
  • Oberlin, OH
  • NPI 1821464306
  Care Compare group
• Lorain County Health & Dentistry

  • Federally Qualified Health Center (FQHC)
  • Lorain, OH
  • NPI 1841238417
  Care Compare group
• Lorain County Health & Dentistry

  • Federally Qualified Health Center (FQHC)
  • Elyria, OH
  • NPI 1891030128
  Care Compare group

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1992560809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 CEDAR RD APT 135",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063174",
            "telephone_number": "769-610-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523409",
            "telephone_number": "769-610-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JEROME",
        "name_suffix": "Sr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.0035744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Jones, RN
• Rebecca Jones, PCC-S
• Sabrina Jones, LCDC111
• Yolanda Yvonne Jones
• John M Jonesco, DO
• Natalie Bichole Jordan
• Danielle Marie Joseph, PT, DPT
• David Blaine Joyce, M.D.
• Juan Salvador a Solis MD Inc
• Norberto L Juan, M.D.

• All providers in Lorain, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.