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MRS. JORDAN FAULKNER MSPAS, PA-C
NPI 1689111759
Physician Assistant in Berkeley, CA

Active since January 26, 2017PECOS Enrolled
2920 TELEGRAPH AVE STE 100, BERKELEY, CA 94705(949) 549-5401 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Aug 30, 2022, May 7, 2022 and 2 more (5 updates tracked since 2017).

About Mrs. Jordan Faulkner Mspas, Pa-c NPPES

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

MRS. JORDAN FAULKNER MSPAS, PA-C (NPI 1689111759) is an individual physician assistant in Berkeley, California, licensed in California (57583) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1689111759
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JORDAN FAULKNERCredential: MSPAS, PA-C
Location Address2920 TELEGRAPH AVE STE 100Berkeley, CA 94705-2031
Mailing Address2920 Telegraph Ave Ste 100Berkeley, CA 94705-2031 · (510) 904-4287
Phone(949) 549-5401
Sole ProprietorNo
Enumeration DateJanuary 26, 2017
Last NPPES UpdateOctober 5, 20235 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1689111759 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 CA · 57583
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.
2920 TELEGRAPH AVE STE 100, Berkeley, CA 94705
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Secondary Practice Location 1

Location 12 Embarcadero Ctr Lbby LevelSan Francisco, CA 94111-3823 · Phone (888) 663-6331

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jordan Faulkner Mspas, Pa-c 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 94705 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 3

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

IRENE OROZCO NP
Nurse Practitioner
2920 TELEGRAPH AVE STE 100
BERKELEY, CA 94705
Alameda County (510) 686-3621
CARBON HEALTH PRIMARY CARE OF CALIFORNIA PC
Non-Pharmacy Dispensing Site
2920 TELEGRAPH AVE STE 100
BERKELEY, CA 94705
Alameda County (510) 686-3621
CARBON HEALTH PRIMARY CARE OF CALIFORNIA PC
Clinic/Center (Multi-Specialty)
2920 TELEGRAPH AVE STE 100
BERKELEY, CA 94705
Alameda County (510) 686-3621

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 Faulkner's NPI number?

The NPI number for Jordan Faulkner is 1689111759. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Jordan Faulkner located?

Jordan Faulkner practices at 2920 Telegraph Ave Ste 100, Berkeley, CA 94705. The listed phone number is (949) 549-5401.

What is Jordan Faulkner's specialty?

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

Is Jordan Faulkner enrolled in Medicare?

Yes. Jordan Faulkner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Faulkner was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.