JAMILYN VAUGHN JORDAN MSN, ARNP, PNP-PC
NPI 1639736580
Nurse Practitioner - Pediatrics in Lake City, FL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Jamilyn Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stuart, FL 34994
- Reassigned Medicare billing, Florida enrollment
- 602 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.
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.
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.
LAKE CITY, FL 32025
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.
Which organization bills Medicare for Jamilyn Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamilyn Jordan reassigns Medicare benefits to Martin Memorial Medical Center Inc (Stuart, FL). 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 Jamilyn Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jamilyn Jordan accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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.
# Jamilyn Vaughn Jordan, MSN, ARNP, PNP-PC · NPI 1639736580
Pediatrics physician in Lake City, Florida. Individual provider, active in the CMS NPPES registry since May 28, 2019.
## Identity
- **NPI:** 1639736580 (Entity type: Individual)
- **Enumerated:** May 28, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN11002236 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1140 SW BASCOM NORRIS DR STE 104, Lake City, FL 32025-1329
- **Phone:** (386) 719-6500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Martin Memorial Medical Center Inc (NPI 1194790055, Stuart, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639736580) · Data from the CMS NPPES public registry.