ELIZABETH A JORDAN LPC, RN, CRNP, PMHNP
NPI 1336428176
Counselor - Professional in Philadelphia, PA
About Elizabeth A Jordan Lpc, Rn, Crnp, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH A JORDAN LPC, RN, CRNP, PMHNP (NPI 1336428176) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC005713) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Bryn Mawr.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elizabeth A Jordan Lpc, Rn, Crnp, Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19136
PHILADELPHIA, PA 19136
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 Elizabeth Jordan's NPI number?
The NPI number for Elizabeth Jordan is 1336428176. It was assigned to this individual provider in the NPPES registry on August 10, 2011.
Where is Elizabeth Jordan located?
Elizabeth Jordan practices at 8001 State Road Mod II, Suite 107, Philadelphia, PA 19136. The listed phone number is (215) 624-0790.
What is Elizabeth Jordan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Elizabeth Jordan enrolled in Medicare?
Yes. Elizabeth Jordan 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.
Which organization bills Medicare for Elizabeth Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jordan reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). 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 Elizabeth Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Jordan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Elizabeth Jordan 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.
Is Elizabeth Jordan affiliated with any hospitals?
According to CMS data, Elizabeth Jordan is affiliated with Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Elizabeth Jordan was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Elizabeth A Jordan, LPC, RN, CRNP, PMHNP · NPI 1336428176
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 10, 2011.
## Identity
- **NPI:** 1336428176 (Entity type: Individual)
- **Enumerated:** August 10, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC005713 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 8001 STATE ROAD, MOD II, SUITE 107, Philadelphia, PA 19136
- **Phone:** (215) 624-0790 · **Fax:** (215) 524-2998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jefferson University Physicians (NPI 1326093675, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1336428176) · Data from the CMS NPPES public registry.