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JORDAN WALKER FRANKLIN
NPI 1104457357
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
3311 KEMPTON AVE, OAKLAND, CA 94611(615) 483-0914 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jordan Walker Franklin NPPES

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

JORDAN WALKER FRANKLIN (NPI 1104457357) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1104457357
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN WALKER FRANKLIN
Location Address3311 KEMPTON AVEOakland, CA 94611-5825
Mailing Address3311 Kempton AveOakland, CA 94611-5825
Phone(615) 483-0914
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2023
Enumeration DateJanuary 27, 2020
✔ NPI 1104457357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3311 KEMPTON AVE, Oakland, CA 94611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Walker Franklin 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 ID6103383344
PECOS Enrollment IDI20260807002290
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 Reassignment

Medicare enrollment records show Jordan Franklin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Podiatry Of Colorado Inc
938 mi
Foot & Ankle Surgery
2630 W BELLEVIEW AVE STE 200
Littleton, CO 80123
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1548016090 (805) 551-7685

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

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 Franklin's NPI number?

The NPI number for Jordan Franklin is 1104457357. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Jordan Franklin located?

Jordan Franklin practices at 3311 Kempton Ave, Oakland, CA 94611. The listed phone number is (615) 483-0914.

What is Jordan Franklin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Franklin enrolled in Medicare?

Yes. Jordan Franklin 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.

Which organization bills Medicare for Jordan Franklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Franklin reassigns Medicare benefits to Premier Podiatry Of Colorado Inc (Littleton, CO). The 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 Franklin'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 Franklin was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.