1. Home
  2. Directory
  3. New York
  4. Troy
  5. Nurse Practitioner
  6. NPI Profile

JACQUELINE NICOLE JORDAN FNP-BC
NPI 1114292331
Nurse Practitioner - Family in Troy, NY

Active since March 21, 2012PECOS Enrolled
433 RIVER ST STE 3000, TROY, NY 12180(518) 279-5700(518) 270-1323 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2021, Aug 17, 2021 (2 updates tracked since 2021).

About Jacqueline Nicole Jordan Fnp-bc NPPES

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

JACQUELINE NICOLE JORDAN FNP-BC (NPI 1114292331) is an individual family provider in Troy, New York, licensed in New York (339127) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114292331
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE NICOLE JORDANCredential: FNP-BC
Location Address433 RIVER ST STE 3000Troy, NY 12180-2250
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Phone(518) 279-5700
Fax(518) 270-1323
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 21, 2012
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1114292331 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 NY · 339127
433 RIVER ST STE 3000, Troy, NY 12180
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-5064 · Fax (518) 285-8192
Location 21938 Curry Road, Senior Care ConnectionSchenectady, NY 12303-3902 · Phone (518) 382-3290
Location 3445 New Karner RdAlbany, NY 12205-3809 · Phone (518) 525-5064
Location 41101 Nott StSchenectady, NY 12308-2425 · Phone (518) 525-5064
Location 52215 Burdett AveTroy, NY 12180-2466 · Phone (518) 525-5064

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Nicole Jordan Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385939271
PECOS Enrollment IDI20160816002534
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 Reassignments

8

Medicare enrollment records show Jacqueline Jordan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peter's Health Partners Medical Associates, P.C.
0.5 mi
Obstetrics & Gynecology
31 LOWER HUDSON AVENUE, ST PETER'S GYNCEOLOGY
Green Island, NY 12183
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
NPI 1427394675 (518) 272-9140
The James A. Eddy Memorial Geriatric Center, Inc.
0.9 mi
Skilled Nursing Facility
2256 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1609820265 (518) 274-9890
Heritage House Nursing Center, Inc
1.3 mi
Skilled Nursing Facility
2920 TIBBITS AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1356395909 (518) 274-4125
Capital Region Geriatric Center, Inc.
3.1 mi
Skilled Nursing Facility
421 WEST COLUMBIA STREET
Cohoes, NY 12047
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1306885066 (518) 237-5630
Villa Mary Immaculate
8.3 mi
Skilled Nursing Facility
301 HACKETT BLVD
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1144215625 (518) 525-7600
Beverwyck, Inc
9.5 mi
Skilled Nursing Facility
40 AUTUMN DR
Slingerlands, NY 12159
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
NPI 1619282704 (518) 451-2107
Seton Health At Schuyler Ridge Residential Healthcare
10 mi
Skilled Nursing Facility
1 ABELE DR
Clifton Park, NY 12065
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1114095171 (518) 371-1400
Our Lady Of Mercy Life Center
11 mi
Skilled Nursing Facility
2 MERCYCARE LN
Guilderland, NY 12084
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1972598290 (518) 464-8100

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

Areas of Expertise CMS Part B claims 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
244 services42 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
87 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 6

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

HOME AIDE SERVICE OF EASTERN NEW YORK, INC.
Home Infusion
433 RIVER ST STE 3000
TROY, NY 12180
Rensselaer County (518) 274-6200
MIRANDA LYNN DUNHAM NP
Nurse Practitioner (Family)
433 RIVER ST STE 3000
TROY, NY 12180
Rensselaer County (518) 279-5700
AIMEE ISABELLE CARLSON NP
Nurse Practitioner (Adult Health)
433 RIVER ST STE 3000
TROY, NY 12180
Rensselaer County (518) 279-5700
RHONDA MAE ESPOSITO NP
Nurse Practitioner (Family)
433 RIVER ST STE 3000
TROY, NY 12180
Rensselaer County (518) 279-5700
ASHANTI TANESHA LEWIS FNP-BC
Nurse Practitioner (Family)
433 RIVER ST STE 3000
TROY, NY 12180
Rensselaer County (518) 274-6200
HOME AIDE SERVICE OF EASTERN NEW YORK, INC.
Occupational Therapist
433 RIVER ST STE 3000
TROY, NY 12180
Rensselaer County (518) 274-6200

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 Jacqueline Jordan's NPI number?

The NPI number for Jacqueline Jordan is 1114292331. It was assigned to this individual provider in the NPPES registry on March 21, 2012.

Where is Jacqueline Jordan located?

Jacqueline Jordan practices at 433 River St Ste 3000, Troy, NY 12180. The listed phone number is (518) 279-5700.

What is Jacqueline Jordan's specialty?

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

Is Jacqueline Jordan enrolled in Medicare?

Yes. Jacqueline Jordan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Jordan reassigns Medicare benefits to 8 organizations: St. Peter's Health Partners Medical Associates, P.C. (Green Island, NY), The James A. Eddy Memorial Geriatric Center, Inc. (Troy, NY), Heritage House Nursing Center, Inc (Troy, NY), Capital Region Geriatric Center, Inc. (Cohoes, NY), Villa Mary Immaculate (Albany, NY) and 3 more organizations, listed in the Medicare section above. Each 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 Jacqueline Jordan'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 Jacqueline Jordan was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.