CONSTANCE RENEE JORDAN M.D.
NPI 1184005159
Pediatrics in Grand Rapids, MI
About Constance Renee Jordan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONSTANCE RENEE JORDAN M.D. (NPI 1184005159) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301104546) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (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)
Constance Renee Jordan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Constance Jordan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 653 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Constance Jordan's NPI number?
The NPI number for Constance Jordan is 1184005159. It was assigned to this individual provider in the NPPES registry on June 15, 2015.
Where is Constance Jordan located?
Constance Jordan practices at 330 Barclay Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-8810.
What is Constance Jordan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Constance Jordan enrolled in Medicare?
Yes. Constance Jordan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Constance Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Constance Jordan reassigns Medicare benefits to 3 organizations: Arkansas Childrens Professional Services Organization LLC (Little Rock, AR), Ou Health Partners, Inc (Oklahoma City, OK) and Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK). 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 Constance Jordan'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 Constance Jordan was last updated on June 15, 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.
# Constance Renee Jordan, M.D. · NPI 1184005159
Pediatrics physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 15, 2015.
## Identity
- **NPI:** 1184005159 (Entity type: Individual)
- **Enumerated:** June 15, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301104546 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 BARCLAY AVE NE, Grand Rapids, MI 49503-2556
- **Phone:** (616) 391-8810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Arkansas Childrens Professional Services Organization LLC (NPI 1629889464, Little Rock, AR); Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK); Board Of Regents Of The University Of Oklahoma - Ou Physicians (NPI 1801869250, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 15, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1184005159) · Data from the CMS NPPES public registry.