JORDAN NICOLE GOTTSCHALK NP-C
NPI 1619546702
Nurse Practitioner in Kalamazoo, MI

Q: What is Jordan Gottschalk's NPI number?

The NPI number for Jordan Gottschalk is 1619546702. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Jordan Gottschalk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Gottschalk was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 22, 2021PECOS EnrolledAccepts Medicare Assignment

84.88/100

CMS Quality Rating

601 JOHN ST # 74, KALAMAZOO, MI 49007(269) 341-8481 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2021, Jun 22, 2021 (2 updates tracked since 2021).

On this page

About Jordan Nicole Gottschalk Np-c NPPES

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

JORDAN NICOLE GOTTSCHALK NP-C (NPI 1619546702) is an individual nurse practitioner in Kalamazoo, Michigan, licensed in Michigan (4704311292) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Bronson Lakeview Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619546702

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJORDAN NICOLE GOTTSCHALKCredential: NP-C

Location Address601 JOHN ST # 74Kalamazoo, MI 49007-5341

Mailing Address6941 S 12th StPortage, MI 49024-1017 · (269) 317-8376

Phone(269) 341-8481

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 22, 2021

Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration

NPPES CertifiedAugust 3, 2021

✔ NPI 1619546702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704311292

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

601 JOHN ST # 74, Kalamazoo, MI 49007

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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 Nicole Gottschalk Np-c 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 ID3779987326

PECOS Enrollment IDI20210804003046

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231332

Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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.

84.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.29

Promoting Interoperability

100

Improvement Activities

Cost

68.32

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.

LAUREN ADELE WIGHT PA-C

Physician Assistant