SANDRA JORDAN
NPI 1487151452
Nurse Practitioner - Family in Jacksonville, FL
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandra Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90802
- Reassigned Medicare billing, Texas enrollment
- 160 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
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 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.
Where is Sandra Jordan located?
Sandra Jordan practices at 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258. The listed phone number is (214) 216-6320.
What is Sandra Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sandra Jordan enrolled in Medicare?
Yes. Sandra Jordan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandra Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Jordan reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Jordan was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sandra Jordan · NPI 1487151452
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 6, 2018.
## Identity
- **NPI:** 1487151452 (Entity type: Individual)
- **Enumerated:** April 6, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP137018 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258-9486
- **Phone:** (214) 216-6320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1487151452) · Data from the CMS NPPES public registry.