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JORDYN DEBORAH BETHEA PA-C
NPI 1265872105
Physician Assistant - Medical in Baltimore, MD

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
3001 S HANOVER ST STE 216A, BALTIMORE, MD 21225(410) 350-2106 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2019, Oct 11, 2016 (2 updates tracked since 2016).

About Jordyn Deborah Bethea Pa-c NPPES

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

JORDYN DEBORAH BETHEA PA-C (NPI 1265872105) is an individual medical provider in Baltimore, Maryland, licensed in Maryland (C0007175) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Medstar Union Memorial Hospital, and maintains a secondary practice location in Delray Beach.

NPPES Registry Identity

NPI1265872105
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJORDYN DEBORAH BETHEACredential: PA-C
Location Address3001 S HANOVER ST STE 216ABaltimore, MD 21225-1233
Mailing Address414 Light St Unit 4201Baltimore, MD 21202-1347 · (732) 310-8214 · Fax (561) 498-0320
Phone(410) 350-2106
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateOctober 10, 20192 updates tracked since enumeration
✔ NPI 1265872105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0007175
3001 S HANOVER ST STE 216A, Baltimore, MD 21225
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Secondary Practice Location 1

Location 14205 W Atlantic Ave, Bldg B Suite 201Delray Beach, FL 33445-3901 · Phone (561) 638-9140 · Fax (561) 498-0320

Other Identifiers 1

Medicaid018266800FL

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

Jordyn Deborah Bethea Pa-c 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 ID2264658764
PECOS Enrollment IDI20191106001192
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.

Hospital Affiliations CMS Care Compare

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

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

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 Jordyn Bethea's NPI number?

The NPI number for Jordyn Bethea is 1265872105. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Jordyn Bethea located?

Jordyn Bethea practices at 3001 S Hanover St Ste 216A, Baltimore, MD 21225. The listed phone number is (410) 350-2106.

What is Jordyn Bethea's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jordyn Bethea enrolled in Medicare?

Yes. Jordyn Bethea 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.

Is Jordyn Bethea affiliated with any hospitals?

According to CMS data, Jordyn Bethea is affiliated with Medstar Union Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jordyn Bethea was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.