JORDY RUANE REYES RN
NPI 1154121499
Nurse Practitioner in Philadelphia, PA

Q: What is Jordy Ruane Reyes's NPI number?

The NPI number for Jordy Ruane Reyes is 1154121499. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Q: What is Jordy Ruane Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordy Ruane Reyes was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 17, 2025PECOS Enrolled

3621 ARAMINGO AVE STE 5C, PHILADELPHIA, PA 19134(215) 444-7472 Get Directions Write a Review

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

Record update history: Mar 16, 2026, Mar 27, 2025, Mar 17, 2025 (3 updates tracked since 2025).

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About Jordy Ruane Reyes Rn NPPES

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

JORDY RUANE REYES RN (NPI 1154121499) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP034685) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154121499

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJORDY RUANE REYESCredential: RN

Location Address3621 ARAMINGO AVE STE 5CPhiladelphia, PA 19134-4607

Mailing AddressPo Box 746722Atlanta, GA 30374-6722

Phone(215) 444-7472

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 17, 2025

Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1154121499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP034685

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 26NR18721300 (NJ)

3621 ARAMINGO AVE STE 5C, Philadelphia, PA 19134

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordy Ruane Reyes Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577043322

PECOS Enrollment IDI20260219001219

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 19134 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 11

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

MRS. FRAN MILLER CRNP

Nurse Practitioner (Family)