JORDAN AT CCIA
NPI 1649529678
Clinic/Center - Federally Qualified Health Center (FQHC) in Canandaigua, NY
About Jordan At Ccia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN AT CCIA (NPI 1649529678) is a healthcare organization registered as a federally qualified health center (fqhc) in Canandaigua, New York and active in the NPI registry since September 2012. The organization lists Bridgette Wiefling, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan At Ccia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Jordan At Ccia, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 38Rochester, NY 14604
Rochester, NY 14611
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthony L. Jordan Health Corporation's NPI number?
The NPI number for Anthony L. Jordan Health Corporation is 1649529678. It was assigned to this organization in the NPPES registry on September 6, 2012. The provider is doing business as Jordan At Ccia.
Where is Anthony L. Jordan Health Corporation located?
Anthony L. Jordan Health Corporation is located at 120 N Main St Suite 11, Canandaigua, NY 14424. The listed phone number is (585) 396-6980.
What is Anthony L. Jordan Health Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Anthony L. Jordan Health Corporation enrolled in Medicare?
Yes. Anthony L. Jordan Health Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Anthony L. Jordan Health Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 11 Medicare specialties reassign their Medicare billing to Anthony L. Jordan Health Corporation. A 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 the clinician's services. The largest specialties are Family Practice (11), Nurse Practitioner (11) and Internal Medicine (5). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Anthony L. Jordan Health Corporation was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jordan At Ccia · NPI 1649529678
Federally Qualified Health Center (FQHC) organization in Canandaigua, New York. Organization record, active in the CMS NPPES registry since September 6, 2012.
## Identity
- **NPI:** 1649529678 (Entity type: Organization)
- **Enumerated:** September 6, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Anthony L. Jordan Health Corporation
- **Organization subpart:** Yes (part of Anthony L. Jordan Health Corporation)
- **Authorized official:** Bridgette Wiefling, PRESIDENT/CEO
## Practice location
- **Address:** 120 N MAIN ST, SUITE 11, Canandaigua, NY 14424-1258
- **Phone:** (585) 396-6980
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (11), Nurse Practitioner (11), Internal Medicine (5); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1649529678/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1649529678) · Data from the CMS NPPES public registry.