PENNY MICHELE JORDAN RN
NPI 1053947135
Nurse Practitioner - Psychiatric/Mental Health in Burleson, TX

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
12500 SUMMERWOOD DR, BURLESON, TX 76028(817) 832-0243 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penny Michele Jordan Rn NPPES

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

PENNY MICHELE JORDAN RN (NPI 1053947135) is an individual psychiatric/mental health provider in Burleson, 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: RN
Location Address12500 SUMMERWOOD DRBurleson, TX 76028-7076
Mailing Address12500 Summerwood DrBurleson, TX 76028-7076 · (817) 832-0243
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 20, 2020
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
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
12500 SUMMERWOOD DR, Burleson, TX 76028

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 Rn 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 76028 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 12500 Summerwood Dr, Burleson, TX 76028. The listed phone number is (817) 832-0243.

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 October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.