JAMILYN VAUGHN JORDAN MSN, ARNP, PNP-PC
NPI 1639736580
Nurse Practitioner - Pediatrics in Lake City, FL

Active since May 28, 2019PECOS Enrolled
1140 SW BASCOM NORRIS DR STE 104, LAKE CITY, FL 32025(386) 719-6500 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jamilyn Vaughn Jordan Msn, Arnp, Pnp-pc NPPES

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

JAMILYN VAUGHN JORDAN MSN, ARNP, PNP-PC (NPI 1639736580) is an individual pediatrics provider in Lake City, Florida, licensed in Florida (APRN11002236) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639736580
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJAMILYN VAUGHN JORDANCredential: MSN, ARNP, PNP-PC
Location Address1140 SW BASCOM NORRIS DR STE 104Lake City, FL 32025-1329
Mailing Address1140 Sw Bascom Norris Dr Ste 104Lake City, FL 32025-1329 · (386) 719-6500
Sole ProprietorNo
Enumeration DateMay 28, 2019
NPI 1639736580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in FL · APRN11002236
1140 SW BASCOM NORRIS DR STE 104, Lake City, FL 32025

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jamilyn Vaughn Jordan Msn, Arnp, Pnp-pc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Pediatrics)
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025
Nurse Practitioner (Pediatrics)
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025
Pediatrics
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025
Nurse Practitioner
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025

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 Jamilyn Jordan's NPI number?

The NPI number for Jamilyn Jordan is 1639736580. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Jamilyn Jordan located?

Jamilyn Jordan practices at 1140 SW Bascom Norris Dr Ste 104, Lake City, FL 32025. The listed phone number is (386) 719-6500.

What is Jamilyn Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jamilyn Jordan enrolled in Medicare?

Yes. Jamilyn Jordan is registered in the Medicare PECOS enrollment system.

What insurance does Jamilyn Jordan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Jamilyn 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 Jamilyn Jordan was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.