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JORDAN ASHLEY ESSENBURG
NPI 1164180477
Family Medicine - Adult Medicine in Dallas, TX

Active since December 03, 2021PECOS Enrolled
12201 MERIT DR STE 180, DALLAS, TX 75251(972) 385-9700 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jordan Ashley Essenburg NPPES

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

JORDAN ASHLEY ESSENBURG (NPI 1164180477) is an individual adult medicine provider in Dallas, Texas, licensed in Texas (1059033) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164180477
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameJORDAN ASHLEY ESSENBURG
Location Address12201 MERIT DR STE 180Dallas, TX 75251-3124
Mailing Address3435 Dickason Ave Apt 2319Dallas, TX 75219-4976 · (214) 605-9679
Phone(972) 385-9700
Sole ProprietorNo
Enumeration DateDecember 3, 2021
NPPES CertifiedDecember 3, 2021
✔ NPI 1164180477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · 1059033
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
12201 MERIT DR STE 180, Dallas, TX 75251
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Ashley Essenburg 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 Jordan Essenburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Rafael Canadas MD PA
Same address
Internal Medicine
12201 MERIT DR, SUITE 180
Dallas, TX 75251
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1649481425 (972) 385-9700

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 75251 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

CRISTINA SOTOMAYOR RODRIGUEZ APRN, CNP
Nurse Practitioner (Family)
12201 MERIT DR STE 180
DALLAS, TX 75251
Dallas County (972) 385-9700

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 Essenburg's NPI number?

The NPI number for Jordan Essenburg is 1164180477. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Jordan Essenburg located?

Jordan Essenburg practices at 12201 Merit Dr Ste 180, Dallas, TX 75251. The listed phone number is (972) 385-9700.

What is Jordan Essenburg's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Jordan Essenburg enrolled in Medicare?

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

Which organization bills Medicare for Jordan Essenburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Essenburg reassigns Medicare benefits to Dr Rafael Canadas MD PA (Dallas, TX). 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 Jordan Essenburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Essenburg accept?

Health plans from Blue Cross and Blue Shield of Texas list Jordan Essenburg 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.

When was this NPI record last updated?

The NPPES record for Jordan Essenburg was last updated on December 3, 2021. 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.