JORDAN REBECCA LULL MD
NPI 1184086852
Pediatrics - Pediatric Critical Care Medicine in Charlottesville, VA
About Jordan Rebecca Lull Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN REBECCA LULL MD (NPI 1184086852) is an individual pediatric critical care medicine provider in Charlottesville, Virginia, licensed in Virginia (0101279397) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hershey, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
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 Rebecca Lull Md 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Lull's NPI number?
The NPI number for Jordan Lull is 1184086852. It was assigned to this individual provider in the NPPES registry on March 22, 2016.
Where is Jordan Lull located?
Jordan Lull practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-1761.
What is Jordan Lull's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Jordan Lull enrolled in Medicare?
Yes. Jordan Lull 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 Jordan Lull was last updated on August 21, 2023. 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.
# Jordan Rebecca Lull, MD · NPI 1184086852
Pediatric Critical Care Medicine physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1184086852 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 0101279397 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-2360
- **Phone:** (434) 924-1761 · **Fax:** (434) 982-3561
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184086852) · Data from the CMS NPPES public registry.