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ANNABELLE BROOKE JORDAN MD
NPI 1689426066
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since April 01, 2024PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Annabelle Brooke Jordan Md NPPES

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

ANNABELLE BROOKE JORDAN MD (NPI 1689426066) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689426066
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNABELLE BROOKE JORDANCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002
Phone(508) 334-1000
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1689426066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

55 LAKE AVE N, Worcester, MA 01655
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annabelle Brooke Jordan Md 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.

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.

DR. SARAH BETH SAXER PHARMD
Pharmacist (Pharmacotherapy)
55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655
Worcester County (508) 856-2763
MARTHA LAROSE SAMPSON CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
LINDA A PAPE M.D.
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Worcester County (508) 856-3050
DR. DALE E RAUCH M.D.
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-6580
DR. MAICHI T TRAN PHARM.D.
Pharmacist (Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-1618
JESSICA L DOUGLAS MS
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Worcester County (508) 334-3517
DR. JULIANNE PATRICIA HUBER MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
ELLEN M GRAVALLESE M.D.
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-5224

Frequently Asked Questions

What is Annabelle Jordan's NPI number?

The NPI number assigned to this healthcare provider is 1689426066, enumerated as an "individual" on April 01, 2024.

Where is the provider located?

The provider is located at 55 LAKE AVE N WORCESTER, MA 01655 and the phone number is (508) 334-1000.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.