JORDAN KENNETH MARSHALL MD
NPI 1396188025
Emergency Medicine in East Saint Louis, IL

Q: What is Jordan Marshall's NPI number?

The NPI number for Jordan Marshall is 1396188025. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Q: What is Jordan Marshall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Marshall was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment

2001 STATE ST, EAST SAINT LOUIS, IL 62205(618) 271-0204 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2022, Apr 25, 2018 (2 updates tracked since 2018).

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About Jordan Kenneth Marshall Md NPPES

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

JORDAN KENNETH MARSHALL MD (NPI 1396188025) is an individual emergency medicine provider in East Saint Louis, Illinois, licensed in Illinois (036160684) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Touchette Regional Hospital Inc, and maintains a secondary practice location in Buckley Afb.

NPPES Registry Identity

NPI1396188025

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJORDAN KENNETH MARSHALLCredential: MD

Location Address2001 STATE STEast Saint Louis, IL 62205-1803

Mailing Address7383 Hazel AveMaplewood, MO 63143-3223 · (907) 482-3613

Phone(618) 271-0204

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2013

Enumeration DateApril 11, 2013

Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration

NPPES CertifiedDecember 18, 2023

✔ NPI 1396188025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036160684

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 0101257159 (VA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101257159 (VA)

2001 STATE ST, East Saint Louis, IL 62205

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Secondary Practice Location 1

Location 1275 S Aspen St Stop 89Buckley AFB, CO 80011-9562 · Phone (720) 847-6486 · Fax (720) 847-6197

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 Kenneth Marshall Md 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 ID1658509260

PECOS Enrollment IDI20220711002792

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

119 services109 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

74 services72 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number140077

Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County

Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141306

Location400 N Caldwell StStaunton, IL 62088 · Macoupin County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62205 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 13

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

YOLANDA L HOAG ACNPC-AG

Nurse Practitioner (Acute Care)