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JORDAN S BEVAN PA-C
NPI 1124577408
Physician Assistant in Fresno, CA

Active since September 27, 2016PECOS Enrolled
45 E RIVER PARK PL W, FRESNO, CA 93720(559) 320-0530(559) 320-0532 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Oct 11, 2016, Sep 27, 2016 (3 updates tracked since 2016).

About Jordan S Bevan Pa-c NPPES

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

JORDAN S BEVAN PA-C (NPI 1124577408) is an individual physician assistant in Fresno, California, licensed in California (53854) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124577408
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN S BEVANCredential: PA-C
Location Address45 E RIVER PARK PL WFresno, CA 93720-1562
Mailing Address2625 E Divisadero StFresno, CA 93721-1431
Phone(559) 320-0530
Fax(559) 320-0532
Sole ProprietorNo
Enumeration DateSeptember 27, 2016
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
✔ NPI 1124577408 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 CA · 53854
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.
45 E RIVER PARK PL W, Fresno, CA 93720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan S Bevan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 11

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

KIMBERLEY KAUR VOELZ DPT
Physical Therapist (Neurology)
45 E RIVER PARK PL W
FRESNO, CA 93720
Fresno County (559) 573-3430
DR. SORABH DATTA MD
Internal Medicine
45 E RIVER PARK PL W
FRESNO, CA 93720
Fresno County (559) 603-7378
GENEVIEVE FAYE SMITH ARNP
Nurse Practitioner (Acute Care)
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720
Fresno County (559) 320-0530
AJAY V PATEL
Internal Medicine
45 E RIVER PARK PL W
FRESNO, CA 93720
Fresno County (559) 603-7316
ZHIJIAN WANG PA-C
Physician Assistant (Surgical)
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720
Fresno County (559) 320-0530
IAN TODD JOHNSON MD
Neurological Surgery
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720
Fresno County (559) 320-0530
QUAN VU DO
Internal Medicine
45 E RIVER PARK PL W
FRESNO, CA 93720
Fresno County (559) 603-7326
MARK LEVY MD
Neurological Surgery
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720
Fresno County (559) 320-0530

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 Bevan's NPI number?

The NPI number for Jordan Bevan is 1124577408. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Jordan Bevan located?

Jordan Bevan practices at 45 E River Park Pl W, Fresno, CA 93720. The listed phone number is (559) 320-0530.

What is Jordan Bevan's specialty?

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

Is Jordan Bevan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Bevan was last updated on January 3, 2022. 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.