EUNICE A JORDAN FNP-C, PMHNP-BC - NPI 1104345420 - Nurse Practitioner in Richmond, IN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Eunice A Jordan Fnp-c, Pmhnp-bc NPPES

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

EUNICE A JORDAN FNP-C, PMHNP-BC (NPI 1104345420) is an individual family provider in Richmond, Indiana, licensed in Indiana (71007654A) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104345420

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEUNICE A JORDANCredential: FNP-C, PMHNP-BC

Location Address2300 CHESTER BLVDRichmond, IN 47374-1221

Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928

Phone(765) 939-2395

Sole ProprietorNo

Enumeration DateSeptember 19, 2017

Last NPPES UpdateNovember 23, 20224 updates tracked since enumeration

NPPES CertifiedNovember 23, 2022

✔ NPI 1104345420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71007654A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71007654A (IN)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71007654A (IN)

2300 CHESTER BLVD, Richmond, IN 47374

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Other Names 1

Former Name (1)Eunice A Leach

Secondary Practice Locations 3

Location 12401 W University Ave Fl 3Muncie, IN 47303-3428 · Phone (765) 747-4409

Location 2630 E Main St Ste 200Richmond, IN 47374-4358 · Phone (765) 935-5390

Location 3498 NW 18th St Ste A-CRichmond, IN 47374-2851 · Phone (765) 373-8704

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Eunice A Jordan Fnp-c, 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 47374 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 13

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

DIANA REDD LCSW, LCAC

Social Worker (Clinical)