JORDAN ANN MONDT DNP, APRN, CPNP-PC
NPI 1417610601
Nurse Practitioner - Pediatrics in Saint Paul, MN

Q: What is Jordan Mondt's NPI number?

The NPI number for Jordan Mondt is 1417610601. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Q: What is Jordan Mondt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Mondt was last updated on June 25, 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.

Active since October 15, 2021PECOS Enrolled

310 SMITH AVE N STE 480, SAINT PAUL, MN 55102(314) 577-5609 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2025, Oct 15, 2021 (2 updates tracked since 2021).

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About Jordan Ann Mondt Dnp, Aprn, Cpnp-pc NPPES

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

JORDAN ANN MONDT DNP, APRN, CPNP-PC (NPI 1417610601) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Missouri (2021041457) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417610601

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJORDAN ANN MONDTCredential: DNP, APRN, CPNP-PC

Location Address310 SMITH AVE N STE 480Saint Paul, MN 55102-2377

Mailing Address9475 Lake RdWoodbury, MN 55125-9034 · (314) 650-0230

Phone(314) 577-5609

Sole ProprietorYes

Enumeration DateOctober 15, 2021

Last NPPES UpdateJune 25, 20252 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1417610601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 2021041457

310 SMITH AVE N STE 480, Saint Paul, MN 55102

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Ann Mondt Dnp, Aprn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jordan Mondt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Cardinal Glennon Childrens Hospital

457 mi

Pediatrics

2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
414 clinicians in this Medicare group

NPI 1073568226 (314) 268-4070

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 55102 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 2

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

BENJAMIN RYBA-WHITE M.D.

Pediatrics (Sleep Medicine)

310 SMITH AVE N STE 480
SAINT PAUL, MN 55102

Ramsey County (651) 220-6258

KAREN KAY HOYER CPNP

Nurse Practitioner (Pediatrics)

310 SMITH AVE N STE 480
SAINT PAUL, MN 55102

Ramsey County (651) 220-6258

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 Mondt's NPI number?

The NPI number for Jordan Mondt is 1417610601. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Jordan Mondt located?

Jordan Mondt practices at 310 Smith Ave N Ste 480, Saint Paul, MN 55102. The listed phone number is (314) 577-5609.

What is Jordan Mondt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jordan Mondt enrolled in Medicare?

Yes. Jordan Mondt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Mondt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Mondt reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). 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 Jordan Mondt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Mondt accept?

Health plans from HealthPartners list Jordan Mondt 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 Mondt was last updated on June 25, 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.