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JORDAN BEASLEY
NPI 1124669643
Physician Assistant in Rockville, MD

Active since October 06, 2019PECOS EnrolledAccepts Medicare Assignment
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850(240) 826-6000 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2020, Oct 6, 2019 (2 updates tracked since 2019).

About Jordan Beasley NPPES

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

JORDAN BEASLEY (NPI 1124669643) is an individual physician assistant in Rockville, Maryland, licensed in Oklahoma (3138) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124669643
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN BEASLEY
Location Address9901 MEDICAL CENTER DRRockville, MD 20850-3357
Mailing Address1923 S Utica AveTulsa, OK 74104-6520 · (918) 748-7585
Phone(240) 826-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 6, 2019
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1124669643 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 OK · 3138
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.
9901 MEDICAL CENTER DR, Rockville, MD 20850
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Beasley 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 ID4385072156
PECOS Enrollment IDI20231220000194, I20251210001377
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
353 services343 patients

Hospital Affiliations CMS Care Compare

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

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 20

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

LOGAN HEWITT LMSW LGSM
Social Worker
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
DR. SHERRY CHANG PHARM.D.
Pharmacist (Pharmacotherapy)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (301) 294-0612
RAKESH MAKADIA M.D
Internal Medicine
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
MESFIN WOLDESENBET M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-7392
FABIAN PADRON PA-C
Physician Assistant (Surgical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
SANDRA ST JEAN
Counselor (Professional)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
DR. ANUJA RASTOGI M.D.
Pediatrics
9901 MEDICAL CENTER DR, PEDIATRIC FLOOR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6480
NICOLE MARIE EDWARDS PA-C
Physician Assistant (Medical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (586) 703-4476

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 Beasley's NPI number?

The NPI number for Jordan Beasley is 1124669643. It was assigned to this individual provider in the NPPES registry on October 6, 2019.

Where is Jordan Beasley located?

Jordan Beasley practices at 9901 Medical Center Dr, Rockville, MD 20850. The listed phone number is (240) 826-6000.

What is Jordan Beasley's specialty?

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

Is Jordan Beasley enrolled in Medicare?

Yes. Jordan Beasley 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 Beasley accept?

Health plans from Medica list Jordan Beasley 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 Beasley affiliated with any hospitals?

According to CMS data, Jordan Beasley is affiliated with Adventist Healthcare Shady Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Jordan Beasley was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.