JORDAN EISENMANN MD
NPI 1578063814
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Q: What is Jordan Eisenmann's NPI number?

The NPI number for Jordan Eisenmann is 1578063814. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Q: What is Jordan Eisenmann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Eisenmann was last updated on April 9, 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 February 13, 2018PECOS Enrolled

1400 W 22ND ST, SIOUX FALLS, SD 57105(605) 357-1380 Get Directions Write a Review

NPPES record last updated: April 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2023, Apr 17, 2018, Mar 30, 2018 and 2 more (5 updates tracked since 2018).

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About Jordan Eisenmann Md NPPES

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

JORDAN EISENMANN MD (NPI 1578063814) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1578063814

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN EISENMANNCredential: MD

Location Address1400 W 22ND STSioux Falls, SD 57105-1554

Mailing Address1400 W 22nd StSioux Falls, SD 57105-1554 · (605) 357-1380

Phone(605) 357-1380

Sole ProprietorNo

Enumeration DateFebruary 13, 2018

Last NPPES UpdateApril 9, 20235 updates tracked since enumeration

NPPES CertifiedApril 9, 2023

✔ NPI 1578063814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1400 W 22ND ST, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 11959 Solano WayConcord, CA 94520-5526 · Phone (925) 676-9768

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 Eisenmann Md 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.

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.

MARIA SEBALIA KOENEN MD

Student in an Organized Health Care Education/Training Program