ANNABELLE JORDAN
NPI 1124579016
Nurse Practitioner - Family in Lubbock, TX

Q: What is Annabelle Jordan's NPI number?

The NPI number for Annabelle Jordan is 1124579016. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Q: What is Annabelle 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 Annabelle Jordan was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 17, 2016PECOS Enrolled

9812 SLIDE RD, LUBBOCK, TX 79424(806) 725-8690(806) 725-8691 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Annabelle Jordan NPPES

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

ANNABELLE JORDAN (NPI 1124579016) is an individual family provider in Lubbock, Texas, licensed in Texas (AP132237) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124579016

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNABELLE JORDAN

Location Address9812 SLIDE RDLubbock, TX 79424-5781

Mailing Address3420 22nd PlLubbock, TX 79410-1314 · (806) 725-5844 · Fax (806) 723-6532

Phone(806) 725-8690

Fax(806) 725-8691

Sole ProprietorNo

Enumeration DateOctober 17, 2016

✔ NPI 1124579016 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 · AP132237

9812 SLIDE RD, Lubbock, TX 79424

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annabelle Jordan 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.

Medicare Billing Reassignment

Medicare enrollment records show Annabelle Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group

5.0 mi

Family Medicine

2215 NASHVILLE AVE
Lubbock, TX 79410

Reassigned Medicare billing, Texas enrollment
309 clinicians in this Medicare group

NPI 1376598904 (806) 725-4800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79424 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 20

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

DR. ANGELA GREMILLION FERGUSON D.O.

Internal Medicine