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JORDAN RENEE PATTERSON MD
NPI 1205457256
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 30, 2020PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-7464 Get Directions Write a Review

NPPES record last updated: June 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Renee Patterson Md NPPES

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

JORDAN RENEE PATTERSON MD (NPI 1205457256) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205457256
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN RENEE PATTERSONCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address2212 S 64th Plz Apt 203Omaha, NE 68106-2815 · (402) 521-0277
Phone(585) 275-7464
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 30, 2020
Last NPPES UpdateJune 20, 2020
NPPES CertifiedJune 20, 2020
✔ NPI 1205457256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Other Names 1

Former Name (1)Jordan Renee Bowman Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Renee Patterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133543192
PECOS Enrollment IDI20260330003186
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.

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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Patterson's NPI number?

The NPI number for Jordan Patterson is 1205457256. It was assigned to this individual provider in the NPPES registry on April 30, 2020. The provider is also known as Jordan Renee Bowman MD.

Where is Jordan Patterson located?

Jordan Patterson practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-7464.

What is Jordan Patterson'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 Patterson enrolled in Medicare?

Yes. Jordan Patterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Patterson was last updated on June 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.