MR. JORDAN J AUGUSTIN APRN, PMHNP-BC
NPI 1104336387
Nurse Practitioner - Psychiatric/Mental Health in Fort Lauderdale, FL

Active since October 02, 2017PECOS Enrolled
5100 N FEDERAL HWY STE 100, FORT LAUDERDALE, FL 33308(754) 777-6304 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2025, Oct 5, 2023, Jul 9, 2023 (3 updates tracked since 2023).

About Mr. Jordan J Augustin Aprn, Pmhnp-bc NPPES

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

MR. JORDAN J AUGUSTIN APRN, PMHNP-BC (NPI 1104336387) is an individual psychiatric/mental health provider in Fort Lauderdale, Florida, licensed in Florida (APRN9351187) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104336387
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JORDAN J AUGUSTINCredential: APRN, PMHNP-BC
Location Address5100 N FEDERAL HWY STE 100Fort Lauderdale, FL 33308-3842
Mailing Address15385 Sw 51st StDavie, FL 33331-2844 · (954) 461-3172
Sole ProprietorYes
Enumeration DateOctober 2, 2017
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
NPI 1104336387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in FL · APRN9351187 Licensed in NJ · 26NJ01462500
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License ARNP9351187 (FL)
5100 N FEDERAL HWY STE 100, Fort Lauderdale, FL 33308

Secondary Practice Locations 3

Location 14121 NW 5th StPlantation, FL 33317-2250 · Phone (954) 797-5222
Location 22500 N Federal Hwy Ste 103Fort Lauderdale, FL 33305-1618 · Phone (954) 280-4025
Location 383 Hanover RdFlorham Park, NJ 07932-1508 · Phone (908) 460-8909

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 (PECOS)

Mr. Jordan J Augustin Aprn, Pmhnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33308 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 3

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

Substance Abuse Rehabilitation Facility
5100 N FEDERAL HWY STE 100
FORT LAUDERDALE, FL 33308
Nurse Practitioner (Psychiatric/Mental Health)
5100 N FEDERAL HWY STE 100
FORT LAUDERDALE, FL 33308
Clinic/Center (Adult Mental Health)
5100 N FEDERAL HWY STE 100
FORT LAUDERDALE, FL 33308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104336387, enumerated as an "individual" on October 02, 2017.

The provider is located at 5100 N FEDERAL HWY STE 100 FORT LAUDERDALE, FL 33308 and the phone number is (754) 777-6304.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.