MRS. RACHEL JORDAN APRN
NPI 1700682473
Nurse Practitioner - Primary Care in Granite City, IL

Active since February 21, 2025PECOS Enrolled
3912 MARYVILLE RD, GRANITE CITY, IL 62040(618) 931-1335 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Feb 21, 2025 (2 updates tracked since 2025).

About Mrs. Rachel Jordan Aprn NPPES

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

MRS. RACHEL JORDAN APRN (NPI 1700682473) is an individual primary care provider in Granite City, Illinois, licensed in Illinois (209031435) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700682473
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. RACHEL JORDANCredential: APRN
Location Address3912 MARYVILLE RDGranite City, IL 62040-4179
Mailing Address3912 Maryville RdGranite City, IL 62040 · (618) 931-1335
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 21, 2025
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
NPI 1700682473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IL · 209031435
3912 MARYVILLE RD, Granite City, IL 62040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Rachel Jordan Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284143967
PECOS Enrollment IDI20250604000160
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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

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

Durable Medical Equipment & Medical Supplies
3912 MARYVILLE RD
GRANITE CITY, IL 62040

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 Rachel Jordan's NPI number?

The NPI number for Rachel Jordan is 1700682473. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Where is Rachel Jordan located?

Rachel Jordan practices at 3912 Maryville Rd, Granite City, IL 62040. The listed phone number is (618) 931-1335.

What is Rachel Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Rachel Jordan enrolled in Medicare?

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

Is Rachel Jordan affiliated with any hospitals?

According to CMS data, Rachel Jordan is affiliated with Gateway Regional Medical Center and Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Jordan was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.