HEATHER JORDAN
NPI 1104609965
Nurse Practitioner - Family in Longview, TX

Q: What is Heather Jordan's NPI number?

The NPI number for Heather Jordan is 1104609965. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Heather Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Jordan was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment

515 N 3RD ST, LONGVIEW, TX 75601(903) 475-3474(903) 367-0300 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Aug 16, 2023 (2 updates tracked since 2023).

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About Heather Jordan NPPES

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

HEATHER JORDAN (NPI 1104609965) is an individual family provider in Longview, Texas, licensed in Texas (1130883) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Henderson Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104609965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER JORDAN

Location Address515 N 3RD STLongview, TX 75601-6546

Mailing Address582 County Road 307De Berry, TX 75639-3020

Phone(903) 475-3474

Fax(903) 367-0300

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 16, 2023

Last NPPES UpdateApril 7, 20252 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1104609965 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 · 1130883

515 N 3RD ST, Longview, TX 75601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Heather Jordan 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 ID2062876246

PECOS Enrollment IDI20230907001400

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.

Areas of Expertise CMS Part B claims 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

243 services39 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

59 services17 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

42 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX

OwnershipProprietary

CMS Certification Number450475

Location300 Wilson StreetHenderson, TX 75652 · Rusk County

Emergency services Birthing friendly

White Rock Medical Center

Acute Care Hospitals · Dallas, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450678

Location9440 Poppy DriveDallas, TX 75218 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 12

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

CAREBRIDGE MEDTEAM, LLC

Nurse Practitioner