JORDAN NICHOLAS DE LAY PA-C
NPI 1174103626
Physician Assistant - Medical in Raleigh, NC

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
815 SPRINGFIELD COMMONS DR, RALEIGH, NC 27609(919) 235-1400 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, May 11, 2024, Apr 9, 2021 (3 updates tracked since 2021).

About Jordan Nicholas De Lay Pa-c NPPES

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

JORDAN NICHOLAS DE LAY PA-C (NPI 1174103626) is an individual medical provider in Raleigh, North Carolina, licensed in North Carolina (0010-11134) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174103626
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJORDAN NICHOLAS DE LAYCredential: PA-C
Location Address815 SPRINGFIELD COMMONS DRRaleigh, NC 27609-8529
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0351 · Fax (919) 350-7687
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2021
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1174103626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 0010-11134
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-11134 (NC)
815 SPRINGFIELD COMMONS DR, Raleigh, NC 27609

Other Identifiers 1

Medicaid1174103626NC

Accepted 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 Nicholas De Lay Pa-c 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 ID6103228556
PECOS Enrollment IDI20210708001138
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Family Medicine
815 SPRINGFIELD COMMONS DR
RALEIGH, NC 27609
Physician Assistant (Medical)
815 SPRINGFIELD COMMONS DR
RALEIGH, NC 27609
Family Medicine
815 SPRINGFIELD COMMONS DR
RALEIGH, NC 27609
Physician Assistant (Medical)
815 SPRINGFIELD COMMONS DR
RALEIGH, NC 27609
Physician Assistant (Medical)
815 SPRINGFIELD COMMONS DR
RALEIGH, NC 27609

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 De Lay's NPI number?

The NPI number for Jordan De Lay is 1174103626. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Jordan De Lay located?

Jordan De Lay practices at 815 Springfield Commons Dr, Raleigh, NC 27609. The listed phone number is (919) 235-1400.

What is Jordan De Lay's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jordan De Lay enrolled in Medicare?

Yes. Jordan De Lay 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 De Lay accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jordan De Lay 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 De Lay affiliated with any hospitals?

According to CMS data, Jordan De Lay is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Jordan De Lay was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.