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JORDAN NEIL HALE PA-C
NPI 1396110169
Physician Assistant in Ammon, ID

Active since December 04, 2015PECOS EnrolledAccepts Medicare Assignment
1547 MIDWAY DR STE B, AMMON, ID 83406(208) 497-0429(208) 497-0430 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2020, Feb 4, 2016, Dec 4, 2015 (3 updates tracked since 2015).

About Jordan Neil Hale Pa-c NPPES

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

JORDAN NEIL HALE PA-C (NPI 1396110169) is an individual physician assistant in Ammon, Idaho, licensed in California (53080) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and maintains a secondary practice location in Turlock.

NPPES Registry Identity

NPI1396110169
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN NEIL HALECredential: PA-C
Location Address1547 MIDWAY DR STE BAmmon, ID 83406-6912
Mailing Address1547 Midway Dr Ste BAmmon, ID 83406-6912 · (208) 497-0429 · Fax (208) 497-0430
Phone(208) 497-0429
Fax(208) 497-0430
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 4, 2015
Last NPPES UpdateMay 27, 20203 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
✔ NPI 1396110169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 53080
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1547 MIDWAY DR STE B, Ammon, ID 83406
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Secondary Practice Location 1

Location 11200 W Main StTurlock, CA 95380-5107 · Phone (209) 668-5388 · Fax (209) 668-5378

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

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 Neil Hale Pa-c 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 ID1759685084
PECOS Enrollment IDI20170203002104
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83406 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hale's NPI number?

The NPI number for Jordan Hale is 1396110169. It was assigned to this individual provider in the NPPES registry on December 4, 2015.

Where is Jordan Hale located?

Jordan Hale practices at 1547 Midway Dr Ste B, Ammon, ID 83406. The listed phone number is (208) 497-0429.

What is Jordan Hale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Hale enrolled in Medicare?

Yes. Jordan Hale 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.

What insurance does Jordan Hale accept?

Health plans from University of Utah Health Plans list Jordan Hale 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 Jordan Hale affiliated with any hospitals?

According to CMS data, Jordan Hale is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Hale was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.