EMILY RACHELLE JORDAN
NPI 1699627646
Nurse Practitioner - Women's Health in Urbana, IL

Q: What is Emily Jordan's NPI number?

The NPI number for Emily Jordan is 1699627646. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Q: What is Emily Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Emily Jordan was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 12, 2026PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 383-3311 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emily Rachelle Jordan NPPES

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

EMILY RACHELLE JORDAN (NPI 1699627646) is an individual women's health provider in Urbana, Illinois, licensed in Illinois (209034935) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699627646

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameEMILY RACHELLE JORDAN

Location Address611 W PARK STUrbana, IL 61801-2501

Mailing Address247 S River RdCovington, IN 47932-8059

Phone(217) 383-3311

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 12, 2026

Last NPPES UpdateMarch 10, 2026

NPPES CertifiedMarch 10, 2026

✔ NPI 1699627646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in IL · 209034935

Also ListedRegistered Nurse · Obstetric, High-RiskTaxonomy 163WX0002X · License 41497055 (IL)

611 W PARK ST, Urbana, IL 61801

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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)

Emily Rachelle Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587149141

PECOS Enrollment IDI20260401000146

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 61801 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology