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JORDAN J GLENN PLLC
NPI 1023800414
Surgery in Peoria, AZ

Active since May 21, 2025
7727 W DEER VALLEY RD STE 220, PEORIA, AZ 85382(602) 843-8317(602) 843-9091 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jordan J Glenn Pllc NPPES

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

JORDAN J GLENN PLLC (NPI 1023800414) is a healthcare organization registered as a surgery in Peoria, Arizona and active in the NPI registry since May 2025. The organization lists Jordan Glenn, Member, as its authorized official.

NPPES Registry Identity

NPI1023800414
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJORDAN J GLENN PLLC
Location Address7727 W DEER VALLEY RD STE 220Peoria, AZ 85382-2121
Mailing Address7727 W Deer Valley Rd Ste 220Peoria, AZ 85382-2121 · (602) 843-8317 · Fax (602) 843-9091
Phone(602) 843-8317
Fax(602) 843-9091
Organization SubpartNo
Authorized OfficialJordan GlennMember · (801) 310-3031
Enumeration DateMay 21, 2025
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1023800414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7727 W DEER VALLEY RD STE 220, Peoria, AZ 85382
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan J Glenn Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jordan J Glenn PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jordan Glenn, DO
General Surgery
NPI 1093008237
7727 W DEER VALLEY RD STE 220
Peoria, AZ 85382
(602) 843-8317
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 J Glenn PLLC's NPI number?

The NPI number for Jordan J Glenn PLLC is 1023800414. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Jordan J Glenn PLLC located?

Jordan J Glenn PLLC is located at 7727 W Deer Valley Rd Ste 220, Peoria, AZ 85382. The listed phone number is (602) 843-8317.

What is Jordan J Glenn PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jordan J Glenn PLLC enrolled in Medicare?

Yes. Jordan J Glenn PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jordan J Glenn PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Jordan J Glenn PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jordan J Glenn PLLC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.