Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN ROBERSON PMHNP-C
NPI 1669965000
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Active since June 11, 2018PECOS EnrolledAccepts Medicare Assignment
1737 N CLYDE MORRIS BLVD STE 300, DAYTONA BEACH, FL 32117(386) 262-1627 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Jun 10, 2024, Aug 10, 2020 and 3 more (6 updates tracked since 2018).

About Jordan Roberson Pmhnp-c NPPES

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

JORDAN ROBERSON PMHNP-C (NPI 1669965000) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (APRN9410928) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669965000
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJORDAN ROBERSONCredential: PMHNP-C
Location Address1737 N CLYDE MORRIS BLVD STE 300Daytona Beach, FL 32117-5533
Mailing Address1737 N Clyde Morris Blvd Ste 300Daytona Beach, FL 32117-5533 · (386) 262-1627
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 11, 2018
Last NPPES UpdateJune 17, 20266 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1669965000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN9410928
1737 N CLYDE MORRIS BLVD STE 300, Daytona Beach, FL 32117

Other Names 1

Former Name (1)Jordan Rogers Arnp

Other Identifiers 1

Medicaid100175900FL

Accepted 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 Roberson Pmhnp-c 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 ID1557607280
PECOS Enrollment IDI20190116002550
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 32117 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
1737 N CLYDE MORRIS BLVD STE 300
DAYTONA BEACH, FL 32117
Nurse Practitioner (Psychiatric/Mental Health)
1737 N CLYDE MORRIS BLVD STE 300
DAYTONA BEACH, FL 32117

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 Roberson's NPI number?

The NPI number for Jordan Roberson is 1669965000. It was assigned to this individual provider in the NPPES registry on June 11, 2018. The provider is also known as Jordan Rogers Arnp.

Where is Jordan Roberson located?

Jordan Roberson practices at 1737 N Clyde Morris Blvd Ste 300, Daytona Beach, FL 32117. The listed phone number is (386) 262-1627.

What is Jordan Roberson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jordan Roberson enrolled in Medicare?

Yes. Jordan Roberson 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 Roberson accept?

Health plans from UnitedHealthcare list Jordan Roberson 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 Jordan Roberson was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.