AMBROSHA NICOLE JORDAN FNP
NPI 1700027307
Nurse Practitioner - Family in Charlotte, NC

Active since March 12, 2009PECOS Enrolled
3626 LATROBE DR, CHARLOTTE, NC 28211(704) 366-7182(704) 366-7184 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ambrosha Nicole Jordan Fnp NPPES

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

AMBROSHA NICOLE JORDAN FNP (NPI 1700027307) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (196518) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1700027307
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBROSHA NICOLE JORDANCredential: FNP
Location Address3626 LATROBE DRCharlotte, NC 28211-1388
Mailing Address2266 N Highway 16Denver, NC 28037-8254 · (704) 483-2200 · Fax (704) 483-2214
Fax(704) 366-7184
Sole ProprietorNo
Enumeration DateMarch 12, 2009
Last NPPES UpdateJuly 26, 2019
✔ NPI 1700027307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 196518
3626 LATROBE DR, Charlotte, NC 28211

Other Names 1

Former Name (1)Ambrosha Nicole Hill

Secondary Practice Location 1

Location 12266 N Highway 16Denver, NC 28037-8254 · Phone (704) 483-2200 · Fax (704) 483-2214

Other Identifiers 1

Other196518Nc License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambrosha Nicole Jordan Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ambrosha Jordan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
3626 LATROBE DR
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Faith Medical Center PC
  • 3 clinicians in this Medicare group
Internal Medicine
3758 S MAIN ST
Hope Mills, NC 28348
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers16 claims32 services$1.18 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers20 claims6,150 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers19 claims19 services$24.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Health Educator
3626 LATROBE DR
CHARLOTTE, NC 28211
Clinic/Center (Physical Therapy)
3626 LATROBE DR
CHARLOTTE, NC 28211
Internal Medicine (Cardiovascular Disease)
3626 LATROBE DR
CHARLOTTE, NC 28211
Counselor (Professional)
3626 LATROBE DR
CHARLOTTE, NC 28211
Internal Medicine
3626 LATROBE DR
CHARLOTTE, NC 28211
Internal Medicine (Cardiovascular Disease)
3626 LATROBE DR
CHARLOTTE, NC 28211
Clinic/Center
3626 LATROBE DR
CHARLOTTE, NC 28211

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 Ambrosha Jordan's NPI number?

The NPI number for Ambrosha Jordan is 1700027307. It was assigned to this individual provider in the NPPES registry on March 12, 2009. The provider is also known as Ambrosha Nicole Hill.

Where is Ambrosha Jordan located?

Ambrosha Jordan practices at 3626 Latrobe Dr, Charlotte, NC 28211. The listed phone number is (704) 366-7182.

What is Ambrosha Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ambrosha Jordan enrolled in Medicare?

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

Which organizations bill Medicare for Ambrosha Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ambrosha Jordan reassigns Medicare benefits to 2 organizations: Faith Medical Center P.C. (Charlotte, NC) and Hope Mills Urgent Care & Medical Clinic, PLLC (Hope Mills, NC). 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 Ambrosha Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ambrosha Jordan was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.