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JORDAN ROSE
NPI 1396418596
Physician Assistant in Mobile, AL

Active since July 26, 2021PECOS EnrolledAccepts Medicare Assignment
4682 AIRPORT BLVD, MOBILE, AL 36608(251) 455-4702 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Jul 26, 2021 (2 updates tracked since 2021).

About Jordan Rose NPPES

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

JORDAN ROSE (NPI 1396418596) is an individual physician assistant in Mobile, Alabama, licensed in Alabama (2141) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2022).

NPPES Registry Identity

NPI1396418596
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN ROSE
Location Address4682 AIRPORT BLVDMobile, AL 36608-3124
Mailing Address106 Golmon CirDaphne, AL 36526-7050
Phone(251) 455-4702
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022
Enumeration DateJuly 26, 2021
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1396418596 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 AL · 2141
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.
4682 AIRPORT BLVD, Mobile, AL 36608
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Other Names 1

Former Name (1)Jordan Doucet Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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 Rose 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 ID1254796196
PECOS Enrollment IDI20230428001848
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 3

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

MRS. BALEY B MOSELEY PT
Physical Therapist
4682 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 342-4900
CONNIE ANDREWS CRNP
Nurse Practitioner
4682 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 343-5004
ELITE URGENT CARE LLC
Clinic/Center (Urgent Care)
4682 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (563) 528-1013

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 Rose's NPI number?

The NPI number for Jordan Rose is 1396418596. It was assigned to this individual provider in the NPPES registry on July 26, 2021. The provider is also known as Jordan Doucet Pa-C.

Where is Jordan Rose located?

Jordan Rose practices at 4682 Airport Blvd, Mobile, AL 36608. The listed phone number is (251) 455-4702.

What is Jordan Rose's specialty?

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

Is Jordan Rose enrolled in Medicare?

Yes. Jordan Rose 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 Rose accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jordan Rose 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 Jordan Rose was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.