JORDAN LEGGE
NPI 1275380446
Physician Assistant - Surgical in Rocklin, CA

Active since May 04, 2024PECOS EnrolledAccepts Medicare Assignment
6520 LONETREE BLVD # 2009, ROCKLIN, CA 95765(925) 600-0193 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, May 4, 2024 (2 updates tracked since 2024).

About Jordan Legge NPPES

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

JORDAN LEGGE (NPI 1275380446) is an individual surgical provider in Rocklin, California and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275380446
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJORDAN LEGGE
Location Address6520 LONETREE BLVD # 2009Rocklin, CA 95765-5874
Mailing Address1865 Alburn PlEl Dorado Hills, CA 95762-5361 · (530) 417-6035
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 4, 2024
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1275380446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
6520 LONETREE BLVD # 2009, Rocklin, CA 95765

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 Legge 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 ID3072045038
PECOS Enrollment IDI20241015002492
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
6520 LONETREE BLVD # 2009
ROCKLIN, CA 95765
Physician Assistant
6520 LONETREE BLVD # 2009
ROCKLIN, CA 95765

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 Legge's NPI number?

The NPI number for Jordan Legge is 1275380446. It was assigned to this individual provider in the NPPES registry on May 4, 2024.

Where is Jordan Legge located?

Jordan Legge practices at 6520 Lonetree Blvd # 2009, Rocklin, CA 95765. The listed phone number is (925) 600-0193.

What is Jordan Legge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jordan Legge enrolled in Medicare?

Yes. Jordan Legge 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 Legge was last updated on May 8, 2024. 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.