CARISSA RENAE JORDAN FNP-C
NPI 1417778333
Nurse Practitioner - Family in Beaumont, TX

Active since October 23, 2024PECOS EnrolledAccepts Medicare Assignment
755 N 11TH ST STE P3200, BEAUMONT, TX 77702(409) 899-4111 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carissa Renae Jordan Fnp-c NPPES

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

CARISSA RENAE JORDAN FNP-C (NPI 1417778333) is an individual family provider in Beaumont, Texas, licensed in Texas (1178703) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417778333
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARISSA RENAE JORDANCredential: FNP-C
Location Address755 N 11TH ST STE P3200Beaumont, TX 77702-1518
Mailing Address755 N 11th St Ste P3200Beaumont, TX 77702-1518 · (409) 899-4111
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 23, 2024
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1417778333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1178703
755 N 11TH ST STE P3200, Beaumont, TX 77702

Accepted 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

Carissa Renae Jordan Fnp-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 ID7012444359
PECOS Enrollment IDI20241226002343
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.

Hospital Affiliations CMS Care Compare 2

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77702 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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 3

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
755 N 11TH ST STE P3200
BEAUMONT, TX 77702
Nurse Practitioner (Family)
755 N 11TH ST STE P3200
BEAUMONT, TX 77702
Urology
755 N 11TH ST STE P3200
BEAUMONT, TX 77702

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 Carissa Jordan's NPI number?

The NPI number for Carissa Jordan is 1417778333. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Carissa Jordan located?

Carissa Jordan practices at 755 N 11th St Ste P3200, Beaumont, TX 77702. The listed phone number is (409) 899-4111.

What is Carissa Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carissa Jordan enrolled in Medicare?

Yes. Carissa 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.

What insurance does Carissa Jordan accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Carissa 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.

Is Carissa Jordan affiliated with any hospitals?

According to CMS data, Carissa Jordan is affiliated with Christus Southeast Texas- St Elizabeth and Christus Jasper Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carissa Jordan was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.