JORDYN GHANEM FNP-C
NPI 1285439760
Nurse Practitioner - Family in Dallas, TX
NPI Status: Active since February 18, 2025
Contact Information
17110 DALLAS PKWY STE 100
DALLAS, TX
ZIP 75248
Phone: (972) 380-7090
- Individual
- Female
- Nurse Practitioner
- Family
- Opted-Out Medicare
About JORDYN GHANEM
This page provides the complete NPI Profile along with additional information for Jordyn Ghanem, a provider established in Dallas, Texas with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1285439760 assigned on February 2025. The practitioner's primary taxonomy code is 363LF0000X with license number 1179049 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1285439760
- Provider Name
- JORDYN GHANEM FNP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 17110 DALLAS PKWY STE 100 DALLAS, TX 75248
- Location Phone
- (972) 380-7090
- Mailing Address
- 5050 CAPITOL AVE APT 107 DALLAS, TX 75206
- Mailing Phone
- (561) 856-1310
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-18-2025
- Last Update Date
- 02-18-2025
- Code Navigator
A nurse practitioner (NP) like Jordyn Ghanem is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jordyn Ghanem opted out of Medicare effective on 05-09-2025 until 05-09-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1179049
- License State
- TX
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-09-2025
Opt-Out End Date: 05-09-2027
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285439760, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285439760, enumerated as an "individual" on February 18, 2025.
The provider is located at 17110 DALLAS PKWY STE 100 DALLAS, TX 75248 and the phone number is (972) 380-7090.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.