MARY JORDAN CPNP
NPI 1477561991
Nurse Practitioner - Pediatrics in Minneapolis, MN
About Mary Jordan Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JORDAN CPNP (NPI 1477561991) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (R125380-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 (PECOS)
Mary Jordan Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mary Jordan's NPI number?
The NPI number for Mary Jordan is 1477561991. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Mary Jordan located?
Mary Jordan practices at 2001 Bloomington Avenue S Community-University Health Care Center, Minneapolis, MN 55404. The listed phone number is (612) 638-0700.
What is Mary Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mary Jordan enrolled in Medicare?
Yes. Mary Jordan is registered in the Medicare PECOS enrollment system.
What insurance does Mary Jordan accept?
Health plans from HealthPartners and Medica list Mary 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.
When was this NPI record last updated?
The NPPES record for Mary Jordan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mary Jordan, CPNP · NPI 1477561991
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1477561991 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R125380-1 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 BLOOMINGTON AVENUE S, COMMUNITY-UNIVERSITY HEALTH CARE CENTER, Minneapolis, MN 55404-3074
- **Phone:** (612) 638-0700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN S97874 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1477561991) · Data from the CMS NPPES public registry.