JORDAN LEE ERICKSEN AU.D.
NPI 1629574462
Audiologist in Owings Mills, MD
About Jordan Lee Ericksen Au.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN LEE ERICKSEN AU.D. (NPI 1629574462) is an individual audiologist in Owings Mills, Maryland, licensed in Maryland (01598) and active in the NPI registry since April 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Lee Ericksen Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Ericksen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Annapolis, MD 21401
- Reassigned Medicare billing, Maryland enrollment
- 47 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.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OWINGS MILLS, MD 21117
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 Ericksen's NPI number?
The NPI number for Jordan Ericksen is 1629574462. It was assigned to this individual provider in the NPPES registry on April 2, 2018.
Where is Jordan Ericksen located?
Jordan Ericksen practices at 23 Crossroads Dr Ste 400, Owings Mills, MD 21117. The listed phone number is (410) 356-2626.
What is Jordan Ericksen's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Jordan Ericksen enrolled in Medicare?
Yes. Jordan Ericksen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Ericksen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Ericksen reassigns Medicare benefits to Annapolis Ent Surgical Center LLC (Annapolis, MD). 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 Jordan Ericksen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Ericksen was last updated on September 5, 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.