JORDAN MCLAINE ICENOGGLE MD
NPI 1023696218
Obstetrics & Gynecology in Hamilton, MT

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
1200 WESTWOOD DR STE G, HAMILTON, MT 59840(406) 375-4777(406) 375-4778 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, Mar 30, 2021 (2 updates tracked since 2021).

About Jordan Mclaine Icenoggle Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN MCLAINE ICENOGGLE MD (NPI 1023696218) is an individual obstetrics & gynecology provider in Hamilton, Montana, licensed in Montana (MED-PHYS-LIC-148113) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Stevensville.

NPPES Registry Identity

NPI1023696218
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJORDAN MCLAINE ICENOGGLECredential: MD
Location Address1200 WESTWOOD DR STE GHamilton, MT 59840-2345
Mailing Address1224 W Main StHamilton, MT 59840-2338
Fax(406) 375-4778
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
NPI 1023696218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MT · MED-PHYS-LIC-148113
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1200 WESTWOOD DR STE G, Hamilton, MT 59840

Other Names 1

Former Name (1)Jordan Mclain Albrecht Md

Secondary Practice Location 1

Location 13975 US Highway 93 NStevensville, MT 59870-6474 · Phone (406) 777-6002 · Fax (406) 206-2965

Other Identifiers 1

Medicaid200034207MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Mclaine Icenoggle Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375946049
PECOS Enrollment IDI20251016000447
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Missoula, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270023
Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County
Emergency services Birthing friendly

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271340
Location1200 Westwood DrHamilton, MT 59840 · Ravalli County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1200 WESTWOOD DR STE G
HAMILTON, MT 59840
Obstetrics & Gynecology
1200 WESTWOOD DR STE G
HAMILTON, MT 59840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Icenoggle's NPI number?

The NPI number for Jordan Icenoggle is 1023696218. It was assigned to this individual provider in the NPPES registry on March 30, 2021. The provider is also known as Jordan Mclain Albrecht MD.

Where is Jordan Icenoggle located?

Jordan Icenoggle practices at 1200 Westwood Dr Ste G, Hamilton, MT 59840. The listed phone number is (406) 375-4777.

What is Jordan Icenoggle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jordan Icenoggle enrolled in Medicare?

Yes. Jordan Icenoggle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Icenoggle accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Jordan Icenoggle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Icenoggle affiliated with any hospitals?

According to CMS data, Jordan Icenoggle is affiliated with Community Medical Center and Bitterroot Health - Daly Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Icenoggle was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.