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JORDAN PHENICIE PA
NPI 1114428547
Physician Assistant in Springfield, MO

Active since February 21, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 875-3800 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2018, Feb 21, 2018 (2 updates tracked since 2018).

About Jordan Phenicie Pa NPPES

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

JORDAN PHENICIE PA (NPI 1114428547) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2018003312) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114428547
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN PHENICIECredential: PA
Location Address3555 S NATIONAL AVESpringfield, MO 65807-7310
Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3000
Phone(417) 875-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 21, 2018
Last NPPES UpdateDecember 27, 20182 updates tracked since enumeration
✔ NPI 1114428547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2018003312
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3555 S NATIONAL AVE, Springfield, MO 65807
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Other Identifiers 1

Medicaid220051881MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Jordan Phenicie Pa 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 ID446512206
PECOS Enrollment IDI20180315001433
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 11

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
2,161 services28 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
296 services50 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
136 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services90 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
48 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

JESSICA ANNE HANSON M.D.
Physical Medicine & Rehabilitation
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-6868
JOSHUA BRANDON D.O.
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3800
LESTER E. COX MEDICAL CENTERS
Physical Medicine & Rehabilitation
3555 S NATIONAL AVE, #302
SPRINGFIELD, MO 65807
Greene County (417) 269-6868
JILL RUDE FNP
Nurse Practitioner
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (000) 000-0000
KEN J. CARPENTER M.D.
Orthopaedic Surgery
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3800
KARA D. WALKER PA-C
Physician Assistant (Medical)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3246
DR. VELA CHEBOLU M.D.
Orthopaedic Surgery (Hand Surgery)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3000
DR. TREVOR CONNER DO
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3000

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 Phenicie's NPI number?

The NPI number for Jordan Phenicie is 1114428547. It was assigned to this individual provider in the NPPES registry on February 21, 2018.

Where is Jordan Phenicie located?

Jordan Phenicie practices at 3555 S National Ave, Springfield, MO 65807. The listed phone number is (417) 875-3800.

What is Jordan Phenicie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Phenicie enrolled in Medicare?

Yes. Jordan Phenicie 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.

What insurance does Jordan Phenicie accept?

Health plans from Cox HealthPlans list Jordan Phenicie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Phenicie affiliated with any hospitals?

According to CMS data, Jordan Phenicie is affiliated with Cox Medical Centers.

When was this NPI record last updated?

The NPPES record for Jordan Phenicie was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.