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ROBERTA MARIE JORDAN CNM, FNP
NPI 1649550492
Nurse Practitioner in Eden Prairie, MN

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment
6452 CITY WEST PARKWAY, NEW KINGDOM HEALTHCARE, EDEN PRAIRIE, MN 55344(952) 999-0333(952) 300-2558 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2023, Jun 1, 2023, May 25, 2021 and 3 more (6 updates tracked since 2016).

About Roberta Marie Jordan Cnm, Fnp NPPES

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

ROBERTA MARIE JORDAN CNM, FNP (NPI 1649550492) is an individual nurse practitioner in Eden Prairie, Minnesota, licensed in Indiana (71012163A) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of University Of Michigan Medical School (2020).

NPPES Registry Identity

NPI1649550492
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROBERTA MARIE JORDANCredential: CNM, FNP
Location Address6452 CITY WEST PARKWAY, NEW KINGDOM HEALTHCAREEden Prairie, MN 55344-0010
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Phone(952) 999-0333
Fax(952) 300-2558
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2020
Enumeration DateAugust 25, 2011
Last NPPES UpdateSeptember 22, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1649550492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71012163A
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8127 (MN), 71012163A (IN)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 458 (MN), 4704244874 (MI)
6452 CITY WEST PARKWAY, Eden Prairie, MN 55344
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Secondary Practice Location 1

Location 16940 Michigan Rd Ste 140Indianapolis, IN 46268-2800 · Phone (317) 266-2901

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Roberta Marie Jordan Cnm, Fnp 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 ID4880865179
PECOS Enrollment IDI20230601001767
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 55344 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Roberta Jordan's NPI number?

The NPI number for Roberta Jordan is 1649550492. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Roberta Jordan located?

Roberta Jordan practices at 6452 City West Parkway New Kingdom Healthcare, Eden Prairie, MN 55344. The listed phone number is (952) 999-0333.

What is Roberta Jordan's specialty?

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

Is Roberta Jordan enrolled in Medicare?

Yes. Roberta Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roberta Jordan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Roberta 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 Roberta Jordan was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.