MR. JORDAN BOYNTON FNP
NPI 1083004105
Nurse Practitioner - Family in Houston, TX

Active since January 27, 2015PECOS Enrolled
4423 GRIGGS RD, HOUSTON, TX 77021(713) 429-0655(713) 429-0670 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jordan Boynton Fnp NPPES

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

MR. JORDAN BOYNTON FNP (NPI 1083004105) is an individual family provider in Houston, Texas, licensed in Texas (AP127330) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083004105
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JORDAN BOYNTONCredential: FNP
Location Address4423 GRIGGS RDHouston, TX 77021-2815
Mailing Address4423 Griggs RdHouston, TX 77021-2815 · (713) 429-0655 · Fax (713) 429-0670
Fax(713) 429-0670
Sole ProprietorNo
Enumeration DateJanuary 27, 2015
Last NPPES UpdateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1083004105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP127330
4423 GRIGGS RD, Houston, TX 77021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jordan Boynton Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jordan Boynton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
Family Medicine
1504 TAUB LOOP
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Internal Medicine
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Texas enrollment
  • 48 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77021 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$34.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Family Medicine
4423 GRIGGS RD
HOUSTON, TX 77021
Family Medicine
4423 GRIGGS RD
HOUSTON, TX 77021
Family Medicine
4423 GRIGGS RD
HOUSTON, TX 77021
Family Medicine
4423 GRIGGS RD
HOUSTON, TX 77021
Podiatrist
4423 GRIGGS RD
HOUSTON, TX 77021
Pharmacy
4423 GRIGGS RD
HOUSTON, TX 77021
Internal Medicine
4423 GRIGGS RD
HOUSTON, TX 77021
Family Medicine
4423 GRIGGS RD
HOUSTON, TX 77021

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 Boynton's NPI number?

The NPI number for Jordan Boynton is 1083004105. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Where is Jordan Boynton located?

Jordan Boynton practices at 4423 Griggs Rd, Houston, TX 77021. The listed phone number is (713) 429-0655.

What is Jordan Boynton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jordan Boynton enrolled in Medicare?

Yes. Jordan Boynton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jordan Boynton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Boynton reassigns Medicare benefits to 4 organizations: Baylor College Of Medicine (Houston, TX), Baylor College Of Medicine (Houston, TX), Tmh Physician Associates PLLC (Houston, TX) and Dedicated Physicians Group Of Texas PLLC (Miami Gardens, FL). Each 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 Jordan Boynton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Boynton was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.