KRISTIN MARIE JORDAN PA-C
NPI 1477078897
Physician Assistant in Milwaukee, WI

Q: What is Kristin Jordan's NPI number?

The NPI number for Kristin Jordan is 1477078897. It was assigned to this individual provider in the NPPES registry on August 7, 2017. The provider is also known as Kristin Marie Johnson Pa-C.

Q: What is Kristin Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristin Jordan was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 07, 2017PECOS EnrolledAccepts Medicare Assignment

3522 W LISBON AVE, MILWAUKEE, WI 53208(414) 935-8000 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2026, Feb 22, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Kristin Marie Jordan Pa-c NPPES

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

KRISTIN MARIE JORDAN PA-C (NPI 1477078897) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (4129-23) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2017).

NPPES Registry Identity

NPI1477078897

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTIN MARIE JORDANCredential: PA-C

Location Address3522 W LISBON AVEMilwaukee, WI 53208-1953

Mailing Address3522 W Lisbon AveMilwaukee, WI 53208-1953 · (414) 935-8000

Phone(414) 935-8000

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2017

Enumeration DateAugust 7, 2017

Last NPPES UpdateMay 22, 20264 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1477078897 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 WI · 4129-23

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.

3522 W LISBON AVE, Milwaukee, WI 53208

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Other Names 1

Former Name (1)Kristin Marie Johnson Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.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

Kristin Marie Jordan Pa-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 ID9931465143

PECOS Enrollment IDI20171103001537

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

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53208 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

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