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JEREMY VAN JORDAN APRN-CNP
NPI 1164210670
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since April 26, 2025PECOS EnrolledAccepts Medicare Assignment
3851 S COMO AVE, MERIDIAN, ID 83642(208) 794-7165 Get Directions Write a Review

NPPES record last updated: April 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Van Jordan Aprn-cnp NPPES

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

JEREMY VAN JORDAN APRN-CNP (NPI 1164210670) is an individual psychiatric/mental health provider in Meridian, Idaho, licensed in Idaho (8671950) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164210670
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJEREMY VAN JORDANCredential: APRN-CNP
Location Address3851 S COMO AVEMeridian, ID 83642-1446
Mailing Address3851 S Como AveMeridian, ID 83642-1446 · (208) 794-7165
Phone(208) 794-7165
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 26, 2025
NPPES CertifiedApril 26, 2025
✔ NPI 1164210670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 8671950
3851 S COMO AVE, Meridian, ID 83642
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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

Jeremy Van Jordan Aprn-cnp 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 ID6204331168
PECOS Enrollment IDI20250923003108
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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Jeremy Jordan's NPI number?

The NPI number for Jeremy Jordan is 1164210670. It was assigned to this individual provider in the NPPES registry on April 26, 2025.

Where is Jeremy Jordan located?

Jeremy Jordan practices at 3851 S Como Ave, Meridian, ID 83642. The listed phone number is (208) 794-7165.

What is Jeremy Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeremy Jordan enrolled in Medicare?

Yes. Jeremy Jordan 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.

When was this NPI record last updated?

The NPPES record for Jeremy Jordan was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.