MARIO JORDAN APRN, PMHNP-BC
NPI 1578014403
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, OH

Q: 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.

Q: 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.

Q: 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.

Active since October 14, 2016PECOS EnrolledAccepts Medicare Assignment

12900 LAKE AVE APT 1101, LAKEWOOD, OH 44107(216) 269-8527 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2023, Oct 14, 2016 (2 updates tracked since 2016).

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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

NPI1578014403

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMARIO JORDANCredential: APRN, PMHNP-BC

Location Address12900 LAKE AVE APT 1101Lakewood, OH 44107-1552

Mailing Address12900 Lake Ave Apt 1101Lakewood, OH 44107-1552 · (216) 269-8527

Phone(216) 269-8527

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 14, 2016

Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1578014403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · APRN.CNP.0034613

Also ListedRegistered NurseTaxonomy 163W00000X · License RN416819 (OH)

12900 LAKE AVE APT 1101, Lakewood, OH 44107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5698128841

PECOS Enrollment IDI20240124003042

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 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.

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

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

What insurance does Mario Jordan accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio 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.