SHALETRA JORDAN
NPI 1699164285
Nurse Anesthetist, Certified Registered in Carthage, TX
About Shaletra Jordan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALETRA JORDAN (NPI 1699164285) is an individual nurse anesthetist, certified registered in Carthage, Texas, licensed in Texas (AP127172) and active in the NPI registry since January 2015. She is affiliated with St Luke's Patients Medical Center and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shaletra Jordan 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.
Medicare Billing Reassignments
12Medicare enrollment records show Shaletra Jordan reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richardson, TX 75080
- Reassigned Medicare billing, Texas enrollment
- 46 clinicians in this Medicare group
Houston, TX 77069
- Reassigned Medicare billing, Texas enrollment
- 84 clinicians in this Medicare group
Houston, TX 77069
- Reassigned Medicare billing, Texas enrollment
- 260 clinicians in this Medicare group
Houston, TX 77008
- Reassigned Medicare billing, Texas enrollment
- 9 clinicians in this Medicare group
Pasadena, TX 77505
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
Houston, TX 77042
- Reassigned Medicare billing, Texas enrollment
- 30 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Webster, TX 77598
- Reassigned Medicare billing, Texas enrollment
- 543 clinicians in this Medicare group
Katy, TX 77494
- Reassigned Medicare billing, Texas enrollment
- 52 clinicians in this Medicare group
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Patients Medical Center
Acute Care Hospitals · Pasadena, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75633 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Shaletra Jordan's NPI number?
The NPI number for Shaletra Jordan is 1699164285. It was assigned to this individual provider in the NPPES registry on January 20, 2015. The provider is also known as Shaletra Hodge Crna.
Where is Shaletra Jordan located?
Shaletra Jordan practices at 412 Overland St, Carthage, TX 75633. The listed phone number is (903) 742-0197.
What is Shaletra Jordan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shaletra Jordan enrolled in Medicare?
Yes. Shaletra Jordan 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.
Which organizations bill Medicare for Shaletra Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaletra Jordan reassigns Medicare benefits to 12 organizations: Eagle Anesthesia PLLC (Richardson, TX), Lonestar Anesthesia Solutions PLLC (Houston, TX), Northwest Anesthesiology & Pain Services, P.A. (Houston, TX), Hunter & Hunter Anesthesia Consultants LLC (Houston, TX), Rukan Daccak, MD, PA (Pasadena, TX) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaletra Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaletra Jordan accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shaletra Jordan 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 Shaletra Jordan affiliated with any hospitals?
According to CMS data, Shaletra Jordan is affiliated with St Luke's Patients Medical Center.
When was this NPI record last updated?
The NPPES record for Shaletra Jordan was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Shaletra Jordan · NPI 1699164285
Nurse Anesthetist, Certified Registered physician in Carthage, Texas. Individual provider, active in the CMS NPPES registry since January 20, 2015.
## Identity
- **NPI:** 1699164285 (Entity type: Individual)
- **Enumerated:** January 20, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP127172 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 412 OVERLAND ST, Carthage, TX 75633-1820
- **Phone:** (903) 742-0197
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Eagle Anesthesia PLLC (NPI 1891151478, Richardson, TX); Lonestar Anesthesia Solutions PLLC (NPI 1992151161, Houston, TX); Northwest Anesthesiology & Pain Services, P.A. (NPI 1629027511, Houston, TX); Hunter & Hunter Anesthesia Consultants LLC (NPI 1003238395, Houston, TX); Rukan Daccak, MD, PA (NPI 1104951979, Pasadena, TX); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 20, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1699164285) · Data from the CMS NPPES public registry.