DR. JORDON DAVID VANDERVEEN D.C.
NPI 1154713311
Chiropractor in St Petersburg, FL
About Dr. Jordon David Vanderveen D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDON DAVID VANDERVEEN D.C. (NPI 1154713311) is an individual chiropractor in St Petersburg, Florida, licensed in Florida (CH11347) and active in the NPI registry since February 2015.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jordon David Vanderveen D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordon Vanderveen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Petersburg, FL 33710
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jordon Vanderveen's NPI number?
The NPI number for Jordon Vanderveen is 1154713311. It was assigned to this individual provider in the NPPES registry on February 25, 2015.
Where is Jordon Vanderveen located?
Jordon Vanderveen practices at 3348 Tyrone Blvd N, St Petersburg, FL 33710. The listed phone number is (727) 381-7433.
What is Jordon Vanderveen's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jordon Vanderveen enrolled in Medicare?
Yes. Jordon Vanderveen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordon Vanderveen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordon Vanderveen reassigns Medicare benefits to Scow Of Florida, LLC (Saint Petersburg, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordon Vanderveen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordon Vanderveen was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Jordon David Vanderveen, D.C. · NPI 1154713311
Chiropractor provider in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since February 25, 2015.
## Identity
- **NPI:** 1154713311 (Entity type: Individual)
- **Enumerated:** February 25, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH11347 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3348 TYRONE BLVD N, St Petersburg, FL 33710-2340
- **Phone:** (727) 381-7433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Scow Of Florida, LLC (NPI 1740438449, Saint Petersburg, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1154713311) · Data from the CMS NPPES public registry.