JORDAN WIEBE DO
NPI 1215590831
Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ
About Jordan Wiebe Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN WIEBE DO (NPI 1215590831) is an individual plastic and reconstructive surgery provider in Phoenix, Arizona, licensed in Arizona (012361) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Wiebe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Wiebe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 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.
Other Providers at the Same Location NPPES 2
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 Wiebe's NPI number?
The NPI number for Jordan Wiebe is 1215590831. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Jordan Wiebe located?
Jordan Wiebe practices at 2801 E Camelback Rd Ste 100, Phoenix, AZ 85016. The listed phone number is (480) 680-9903.
What is Jordan Wiebe's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Jordan Wiebe enrolled in Medicare?
Yes. Jordan Wiebe is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Wiebe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Wiebe reassigns Medicare benefits to Yale University (Hamden, CT). The 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 Wiebe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Wiebe accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Jordan Wiebe 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.
When was this NPI record last updated?
The NPPES record for Jordan Wiebe was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jordan Wiebe, DO · NPI 1215590831
Plastic and Reconstructive Surgery physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1215590831 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 012361 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2801 E CAMELBACK RD, STE 100, Phoenix, AZ 85016-4363
- **Phone:** (480) 680-9903
## 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:** Yale University (NPI 1134391824, Hamden, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215590831) · Data from the CMS NPPES public registry.