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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN MCKENZIE VANDENBERG PA
NPI 1609359215
Physician Assistant in Casa Grande, AZ

Active since September 10, 2018PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
1828 E FLORENCE BLVD STE 110, CASA GRANDE, AZ 85122(520) 876-4006 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2023, Mar 7, 2023, Jan 30, 2023 and 6 more (9 updates tracked since 2018).

About Jordan Mckenzie Vandenberg Pa NPPES

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

JORDAN MCKENZIE VANDENBERG PA (NPI 1609359215) is an individual physician assistant in Casa Grande, Arizona, licensed in Arizona (7283) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609359215
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN MCKENZIE VANDENBERGCredential: PA
Location Address1828 E FLORENCE BLVD STE 110Casa Grande, AZ 85122-4783
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (239) 432-8331 · Fax (813) 321-1296
Phone(520) 876-4006
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 10, 2018
Last NPPES UpdateJune 18, 20269 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1609359215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 7283
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.
1828 E FLORENCE BLVD STE 110, Casa Grande, AZ 85122
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Other Names 1

Former Name (1)Jordan Mckenzie Creed

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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

Jordan Mckenzie Vandenberg Pa 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 ID1153668793
PECOS Enrollment IDI20190121001421
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
26 services26 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMON SABASTIAN MOURELO MD
Surgery
1828 E FLORENCE BLVD STE 110
CASA GRANDE, AZ 85122
Pinal County (520) 876-0416

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 Vandenberg's NPI number?

The NPI number for Jordan Vandenberg is 1609359215. It was assigned to this individual provider in the NPPES registry on September 10, 2018. The provider is also known as Jordan Mckenzie Creed.

Where is Jordan Vandenberg located?

Jordan Vandenberg practices at 1828 E Florence Blvd Ste 110, Casa Grande, AZ 85122. The listed phone number is (520) 876-4006.

What is Jordan Vandenberg's specialty?

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

Is Jordan Vandenberg enrolled in Medicare?

Yes. Jordan Vandenberg 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 Jordan Vandenberg accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 8 other insurers list Jordan Vandenberg 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 Jordan Vandenberg was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.