MARIO JORDAN APRN, PMHNP-BC
NPI 1578014403
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, OH
About Mario Jordan Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIO JORDAN APRN, PMHNP-BC (NPI 1578014403) is an individual psychiatric/mental health provider in Lakewood, Ohio, licensed in Ohio (APRN.CNP.0034613) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mario Jordan Aprn, Pmhnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Mario Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 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 44107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mario Jordan's NPI number?
The NPI number for Mario Jordan is 1578014403. It was assigned to this individual provider in the NPPES registry on October 14, 2016.
Where is Mario Jordan located?
Mario Jordan practices at 12900 Lake Ave Apt 1101, Lakewood, OH 44107. The listed phone number is (216) 269-8527.
What is Mario Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mario Jordan enrolled in Medicare?
Yes. Mario Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mario Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Jordan reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). 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 Mario Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mario Jordan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Mario 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 Mario Jordan was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mario Jordan, APRN, PMHNP-BC · NPI 1578014403
Psychiatric/Mental Health physician in Lakewood, Ohio. Individual provider, active in the CMS NPPES registry since October 14, 2016.
## Identity
- **NPI:** 1578014403 (Entity type: Individual)
- **Enumerated:** October 14, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.0034613 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12900 LAKE AVE APT 1101, Lakewood, OH 44107-1552
- **Phone:** (216) 269-8527
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1578014403) · Data from the CMS NPPES public registry.