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JORDAN DALE WHITAKER PA
NPI 1659922250
Physician Assistant in Mount Vernon, KY

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
1770 LAKE CUMBERLAND RD, MOUNT VERNON, KY 40456(606) 256-7488(606) 256-8036 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Dale Whitaker Pa NPPES

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

JORDAN DALE WHITAKER PA (NPI 1659922250) is an individual physician assistant in Mount Vernon, Kentucky, licensed in Kentucky (TC870) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Lincoln Memorial University Medical Department (2019).

NPPES Registry Identity

NPI1659922250
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN DALE WHITAKERCredential: PA
Location Address1770 LAKE CUMBERLAND RDMount Vernon, KY 40456-8431
Mailing Address1770 Lake Cumberland RdMount Vernon, KY 40456-8431 · (606) 256-7488 · Fax (606) 256-8036
Phone(606) 256-7488
Fax(606) 256-8036
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2019
Enumeration DateSeptember 25, 2019
✔ NPI 1659922250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · TC870
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1770 LAKE CUMBERLAND RD, Mount Vernon, KY 40456
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Jordan Dale Whitaker Pa 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 ID7517399850
PECOS Enrollment IDI20191107001406
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40456 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

MELISSA LEANN CROCKETT APRN
Nurse Practitioner (Family)
1770 LAKE CUMBERLAND RD
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-7488
ROCKCASTLE COUNTY HOSPITAL, INC.
Clinic/Center (Rural Health)
1770 LAKE CUMBERLAND RD
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-2195
ZACHARY DAVIS NP
Nurse Practitioner (Family)
1770 LAKE CUMBERLAND RD
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-7488
EMILY KAY SAYLOR
Physician Assistant
1770 LAKE CUMBERLAND RD
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-7488

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 Whitaker's NPI number?

The NPI number for Jordan Whitaker is 1659922250. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Jordan Whitaker located?

Jordan Whitaker practices at 1770 Lake Cumberland Rd, Mount Vernon, KY 40456. The listed phone number is (606) 256-7488.

What is Jordan Whitaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Whitaker enrolled in Medicare?

Yes. Jordan Whitaker 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 Jordan Whitaker accept?

Health plans from CareSource list Jordan Whitaker 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.

Is Jordan Whitaker affiliated with any hospitals?

According to CMS data, Jordan Whitaker is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Jordan Whitaker was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.