MRS. JORDAN DELYNN PENDLETON
NPI 1104468651
Physician Assistant in Jersey City, NJ
About Mrs. Jordan Delynn Pendleton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JORDAN DELYNN PENDLETON (NPI 1104468651) is an individual physician assistant in Jersey City, New Jersey, licensed in New Jersey (25MP00558600) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Jordan Delynn Pendleton 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JERSEY CITY, NJ 07306
JERSEY CITY, NJ 07306
JERSEY CITY, NJ 07306
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 Pendleton's NPI number?
The NPI number for Jordan Pendleton is 1104468651. It was assigned to this individual provider in the NPPES registry on October 16, 2019.
Where is Jordan Pendleton located?
Jordan Pendleton practices at 176 Palisade Ave, Jersey City, NJ 07306. The listed phone number is (201) 795-8200.
What is Jordan Pendleton's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jordan Pendleton enrolled in Medicare?
Yes. Jordan Pendleton 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 Jordan Pendleton was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Jordan Delynn Pendleton · NPI 1104468651
Physician Assistant physician in Jersey City, New Jersey. Individual provider, active in the CMS NPPES registry since October 16, 2019.
## Identity
- **NPI:** 1104468651 (Entity type: Individual)
- **Enumerated:** October 16, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 25MP00558600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 176 PALISADE AVE, Jersey City, NJ 07306-1121
- **Phone:** (201) 795-8200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104468651) · Data from the CMS NPPES public registry.