JORDAN ALLISON BROADWAY
NPI 1174151575
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
2213 ELBA STREET DUMC 3837 ROOM 272A, DURHAM, NC 27710(919) 684-8785(919) 684-2290 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2020, Mar 31, 2020 (2 updates tracked since 2020).

About Jordan Allison Broadway NPPES

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

JORDAN ALLISON BROADWAY (NPI 1174151575) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1174151575
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN ALLISON BROADWAY
Location Address2213 ELBA STREET DUMC 3837 ROOM 272ADurham, NC 27710-0001
Mailing Address2213 Elba Street Dumc 3837 Room 272aDurham, NC 27710-0001 · (919) 684-8785 · Fax (919) 684-2290
Fax(919) 684-2290
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1174151575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2213 ELBA STREET DUMC 3837 ROOM 272A, Durham, NC 27710

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Allison Broadway 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 ID6709387202
PECOS Enrollment IDI20250827002976
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 Reassignments

2

Medicare enrollment records show Jordan Broadway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
Internal Medicine
3643 N ROXBORO ST
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,482 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.

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

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 Broadway's NPI number?

The NPI number for Jordan Broadway is 1174151575. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Jordan Broadway located?

Jordan Broadway practices at 2213 Elba Street Dumc 3837 Room 272A, Durham, NC 27710. The listed phone number is (919) 684-8785.

What is Jordan Broadway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Broadway enrolled in Medicare?

Yes. Jordan Broadway 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.

Which organizations bill Medicare for Jordan Broadway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Broadway reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Durham, NC) and Duke University Health System, Inc. (Durham, NC). Each 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 Broadway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Broadway accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Jordan Broadway 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 Broadway affiliated with any hospitals?

According to CMS data, Jordan Broadway is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Broadway was last updated on July 23, 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.