SANDRA JORDAN
NPI 1487151452
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Sandra Jordan's NPI number?

The NPI number for Sandra Jordan is 1487151452. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Sandra Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Jordan was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2018PECOS Enrolled

12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(214) 216-6320 Get Directions Write a Review

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

Record update history: Jun 26, 2025, Sep 18, 2024, Aug 2, 2024 and 1 more (4 updates tracked since 2018).

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About Sandra Jordan NPPES

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

SANDRA JORDAN (NPI 1487151452) is an individual family provider in Jacksonville, Florida, licensed in Texas (AP137018) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487151452

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA JORDAN

Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486

Mailing Address2150 S Central Expy Ste 200Mckinney, TX 75070-4000 · (214) 216-6320

Phone(214) 216-6320

Sole ProprietorYes

Enumeration DateApril 6, 2018

Last NPPES UpdateJune 26, 20254 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1487151452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP137018

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP137018 (TX)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 859505 (NV), 272371 (AZ), 69618 (NM), 81513 (KS), 350694 (NY), 11016221 (FL)

12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Jordan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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.