JORDAN ELIZABETH NELSON DMD
NPI 1669080214
Dentist in Jefferson City, MO

Q: What is Jordan Nelson's NPI number?

The NPI number for Jordan Nelson is 1669080214. It was assigned to this individual provider in the NPPES registry on July 20, 2020. The provider is also known as Jordan Immel.

Q: What is Jordan Nelson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Nelson was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 20, 2020PECOS Enrolled

1511 CHRISTY DR, JEFFERSON CITY, MO 65101(573) 632-2777 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Jan 2, 2025, Jul 20, 2020 (3 updates tracked since 2020).

On this page

About Jordan Elizabeth Nelson Dmd NPPES

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

JORDAN ELIZABETH NELSON DMD (NPI 1669080214) is an individual dentist in Jefferson City, Missouri, licensed in Missouri (2020022417) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jefferson City.

NPPES Registry Identity

NPI1669080214

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJORDAN ELIZABETH NELSONCredential: DMD

Location Address1511 CHRISTY DRJefferson City, MO 65101-2854

Mailing Address1511 Christy DrJefferson City, MO 65101-2854 · (573) 632-2777 · Fax (573) 632-0248

Phone(573) 632-2777

Sole ProprietorNo

Enumeration DateJuly 20, 2020

Last NPPES UpdateMay 15, 20263 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1669080214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2020022417

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 2020022417 (MO)

1511 CHRISTY DR, Jefferson City, MO 65101

Open in Google Maps ↗

Other Names 1

Former Name (1)Jordan Immel

Secondary Practice Location 1

Location 11125 Madison StJefferson City, MO 65101-5227 · Phone (573) 632-5000 · Fax (573) 634-2033

Accepted Insurance

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

Jordan Elizabeth Nelson Dmd 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 65101 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 20

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

COMMUNITY HEALTH CTR OF CENTRAL MISSOURI

Pharmacy (Community/Retail Pharmacy)