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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PENNY MICHELE JORDAN APRN
NPI 1053947135
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
10640 N RIVERSIDE DR STE 300, FORT WORTH, TX 76244(817) 722-6078 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Mar 20, 2020 (2 updates tracked since 2020).

About Penny Michele Jordan Aprn NPPES

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

PENNY MICHELE JORDAN APRN (NPI 1053947135) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1209061) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053947135
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePENNY MICHELE JORDANCredential: APRN
Location Address10640 N RIVERSIDE DR STE 300Fort Worth, TX 76244-9507
Mailing Address10640 N Riverside Dr Ste 300Fort Worth, TX 76244-9507 · (817) 722-6078
Phone(817) 722-6078
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 20, 2020
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1053947135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1209061
10640 N RIVERSIDE DR STE 300, Fort Worth, TX 76244
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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

Penny Michele Jordan Aprn 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 ID5597252288
PECOS Enrollment IDI20251015004640
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
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 7

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

SHIRLEY ANN DIXON PA-C
Physician Assistant
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244
Tarrant County (817) 722-6078
SHELTON BROCK MONROE LCSW
Social Worker (Clinical)
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244
Tarrant County (817) 722-6078
HANNAH HYDEN
Social Worker (Clinical)
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244
Tarrant County (817) 722-6078
VIVEK POUDEL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244
Tarrant County (972) 672-2332
RITA VIGIL LMFT
Marriage & Family Therapist
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244
Tarrant County (817) 722-6078
HANNAH COLLINS KIRCHER PA-C
Physician Assistant
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244
Tarrant County (817) 722-6078
ANUPA DHITAL MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10640 N RIVERSIDE DR STE 300
FORT WORTH, TX 76244
Tarrant County (817) 722-6078

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 Penny Jordan's NPI number?

The NPI number for Penny Jordan is 1053947135. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Penny Jordan located?

Penny Jordan practices at 10640 N Riverside Dr Ste 300, Fort Worth, TX 76244. The listed phone number is (817) 722-6078.

What is Penny Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Penny Jordan enrolled in Medicare?

Yes. Penny Jordan 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.

When was this NPI record last updated?

The NPPES record for Penny Jordan was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.