JORDAN CUNNINGHAM ARNP
NPI 1457899577
Nurse Practitioner - Family in Lake City, FL

Active since February 09, 2017Opted out of Medicare · through Jul 1, 2027
404 NW HALL OF FAME DR, LAKE CITY, FL 32055(386) 719-2540 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Cunningham Arnp NPPES

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

JORDAN CUNNINGHAM ARNP (NPI 1457899577) is an individual family provider in Lake City, Florida, licensed in Florida (ARNP9325667) and active in the NPI registry since February 2017. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457899577
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN CUNNINGHAMCredential: ARNP
Location Address404 NW HALL OF FAME DRLake City, FL 32055-4833
Mailing Address404 Nw Hall Of Fame DrLake City, FL 32055-4833
Sole ProprietorNo
Enumeration DateFebruary 9, 2017
NPI 1457899577 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 FL · ARNP9325667
404 NW HALL OF FAME DR, Lake City, FL 32055

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jordan Cunningham Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32055 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$21.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$119.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Pain Medicine (Pain Medicine)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Nurse Practitioner (Family)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Surgery (Vascular Surgery)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Nurse Anesthetist, Certified Registered
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Physical Therapy Assistant
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Nurse Practitioner
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Nurse Practitioner (Family)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Nurse Anesthetist, Certified Registered
404 NW HALL OF FAME DR
LAKE CITY, FL 32055

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 Cunningham's NPI number?

The NPI number for Jordan Cunningham is 1457899577. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Jordan Cunningham located?

Jordan Cunningham practices at 404 NW Hall Of Fame Dr, Lake City, FL 32055. The listed phone number is (386) 719-2540.

What is Jordan Cunningham's specialty?

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

Is Jordan Cunningham enrolled in Medicare?

No. Jordan Cunningham has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jordan Cunningham was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.