JORDYN GHANEM FNP-C
NPI 1285439760
Nurse Practitioner - Family in Dallas, TX
About Jordyn Ghanem Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDYN GHANEM FNP-C (NPI 1285439760) is an individual family provider in Dallas, Texas, licensed in Texas (1179049) and active in the NPI registry since February 2025. She has opted out of Medicare through May 9, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jordyn Ghanem Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2025 through May 9, 2027.
Other Providers at the Same Location NPPES
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 Jordyn Ghanem's NPI number?
The NPI number for Jordyn Ghanem is 1285439760. It was assigned to this individual provider in the NPPES registry on February 18, 2025.
Where is Jordyn Ghanem located?
Jordyn Ghanem practices at 17110 Dallas Pkwy Ste 100, Dallas, TX 75248. The listed phone number is (972) 380-7090.
What is Jordyn Ghanem's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jordyn Ghanem enrolled in Medicare?
No. Jordyn Ghanem has opted out of Medicare through May 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jordyn Ghanem was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jordyn Ghanem, FNP-C · NPI 1285439760
Family physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since February 18, 2025.
## Identity
- **NPI:** 1285439760 (Entity type: Individual)
- **Enumerated:** February 18, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1179049 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 17110 DALLAS PKWY STE 100, Dallas, TX 75248-1167
- **Phone:** (972) 380-7090
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 9, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285439760) · Data from the CMS NPPES public registry.