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JORDAN BONNER-POOLE
NPI 1548794100
Physician Assistant in Dayton, OH

Active since April 20, 2017PECOS Enrolled
1 WYOMING ST, DAYTON, OH 45409(374) 782-9519 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jordan Bonner-poole NPPES

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

JORDAN BONNER-POOLE (NPI 1548794100) is an individual physician assistant in Dayton, Ohio and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548794100
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN BONNER-POOLE
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing Address1 Wyoming StDayton, OH 45409-2722 · (374) 782-9519
Phone(374) 782-9519
Sole ProprietorNo
Enumeration DateApril 20, 2017
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1548794100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1 WYOMING ST, Dayton, OH 45409
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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)

Jordan Bonner-poole 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 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

DANIEL NGUYEN
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3882
KATHY WAYMIRE CRNA
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (800) 394-4445
DR. RORY JON PEPPARD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Montgomery County (937) 208-2907
DR. DANIEL PHILLIP PITSTICK D.O.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3356
DR. WILLIAM R. MARRIOTT M.D.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (513) 281-4400
MIAMI VALLEY HOSPITAL
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-8000
LEILA CONSTANCE TOU
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-2866
DR. JARED COTTINGIM RPH
Pharmacist
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3195

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 Bonner-poole's NPI number?

The NPI number for Jordan Bonner-poole is 1548794100. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Jordan Bonner-poole located?

Jordan Bonner-poole practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (374) 782-9519.

What is Jordan Bonner-poole's specialty?

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

Is Jordan Bonner-poole enrolled in Medicare?

Yes. Jordan Bonner-poole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Bonner-poole was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.