TRACY LAUREN JORDAN PHD
NPI 1700428737
Psychologist - Clinical in Palo Alto, CA
About Tracy Lauren Jordan Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY LAUREN JORDAN PHD (NPI 1700428737) is an individual clinical provider in Palo Alto, California, licensed in California (PSY32590) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
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
Tracy Lauren Jordan Phd 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
2Medicare enrollment records show Tracy Jordan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 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 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Tracy Jordan's NPI number?
The NPI number for Tracy Jordan is 1700428737. It was assigned to this individual provider in the NPPES registry on October 10, 2019. The provider is also known as Tracy Vargo.
Where is Tracy Jordan located?
Tracy Jordan practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.
What is Tracy Jordan's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Tracy Jordan enrolled in Medicare?
Yes. Tracy 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 Tracy Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Jordan reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Stanford Health Care (Stanford, CA). 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 Tracy 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 Tracy Jordan was last updated on April 30, 2024. 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.
# Tracy Lauren Jordan, PHD · NPI 1700428737
Clinical provider in Palo Alto, California. Individual provider, active in the CMS NPPES registry since October 10, 2019.
## Identity
- **NPI:** 1700428737 (Entity type: Individual)
- **Enumerated:** October 10, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY32590 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Stanford Health Care (NPI 1437292927, Stanford, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700428737) · Data from the CMS NPPES public registry.