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DEADRA JORDAN PMHNP-BC
NPI 1366052805
Nurse Practitioner - Psychiatric/Mental Health in San Francisco, CA

Active since August 07, 2020PECOS EnrolledAccepts Medicare Assignment
5214F DIAMOND HEIGHTS BLVD # 3422, SAN FRANCISCO, CA 94131(412) 818-0345(903) 212-7839 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Sep 4, 2024, Jun 17, 2024 and 3 more (6 updates tracked since 2020).

About Deadra Jordan Pmhnp-bc NPPES

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

DEADRA JORDAN PMHNP-BC (NPI 1366052805) is an individual psychiatric/mental health provider in San Francisco, California, licensed in Texas (1014434) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366052805
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEADRA JORDANCredential: PMHNP-BC
Location Address5214F DIAMOND HEIGHTS BLVD # 3422San Francisco, CA 94131-2175
Mailing Address13102 Fm 839 SHenderson, TX 75654-6278 · (903) 343-6861 · Fax (903) 212-7839
Phone(412) 818-0345
Fax(903) 212-7839
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 7, 2020
Last NPPES UpdateAugust 5, 20256 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1366052805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · 1014434✔ Licensed in CA · 95017044
5214F DIAMOND HEIGHTS BLVD # 3422, San Francisco, CA 94131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare.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

Deadra Jordan Pmhnp-bc 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 ID3072924612
PECOS Enrollment IDI20201202002856
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Deadra Jordan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brightside Medical, P.C.
Same address
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 231 clinicians in this Medicare group
NPI 1801355482 (415) 360-3348
Southtown Psychiatry PLLC
1,489 mi
Psychiatry
909 NE LOOP 410 STE 600
San Antonio, TX 78209
  • Reassigned Medicare billing, Texas enrollment
  • 37 clinicians in this Medicare group
NPI 1457167702 (210) 343-5121
Southtown Psychiatry PLLC
1,489 mi
Psychiatry
909 NE LOOP 410 STE 600
San Antonio, TX 78209
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1346836681 (210) 332-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

BRIGHTSIDE MEDICAL OF MICHIGAN PC
Psychiatry & Neurology (Psychiatry)
5214F DIAMOND HEIGHTS BLVD # 3422
SAN FRANCISCO, CA 94131
San Francisco County (415) 360-3348
MRS. PAULINA OTANG NANYINGAH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5214F DIAMOND HEIGHTS BLVD # 3422
SAN FRANCISCO, CA 94131
San Francisco County (415) 360-3348
CAROLINE FONSECA AGUIAR LMHC
Counselor (Mental Health)
5214F DIAMOND HEIGHTS BLVD # 3422
SAN FRANCISCO, CA 94131
San Francisco County (415) 360-3348
PAMELA F ECHOLS LIMHP, LADC
Counselor (Mental Health)
5214F DIAMOND HEIGHTS BLVD # 3422
SAN FRANCISCO, CA 94131
San Francisco County (415) 360-3348
LAURA MOLEDOR LISW
Social Worker (Clinical)
5214F DIAMOND HEIGHTS BLVD # 3422
SAN FRANCISCO, CA 94131
San Francisco County (567) 323-4241

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 Deadra Jordan's NPI number?

The NPI number for Deadra Jordan is 1366052805. It was assigned to this individual provider in the NPPES registry on August 7, 2020.

Where is Deadra Jordan located?

Deadra Jordan practices at 5214F Diamond Heights Blvd # 3422, San Francisco, CA 94131. The listed phone number is (412) 818-0345.

What is Deadra Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Deadra Jordan enrolled in Medicare?

Yes. Deadra 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 organizations bill Medicare for Deadra Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deadra Jordan reassigns Medicare benefits to 3 organizations: Brightside Medical, P.C. (San Francisco, CA), Southtown Psychiatry PLLC (San Antonio, TX) and Southtown Psychiatry PLLC (San Antonio, TX). Each 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 Deadra Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deadra Jordan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Cigna Healthcare list Deadra 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.

When was this NPI record last updated?

The NPPES record for Deadra Jordan was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.