JORDAN STORES PA-C
NPI 1710424254
Physician Assistant in Orange Park, FL

Active since January 23, 2017PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1544 COUNTY ROAD 220 STE 100, ORANGE PARK, FL 32003(904) 223-2340(904) 637-7991 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Jun 10, 2021, Jan 23, 2017 (3 updates tracked since 2017).

About Jordan Stores Pa-c NPPES

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

JORDAN STORES PA-C (NPI 1710424254) is an individual physician assistant in Orange Park, Florida, licensed in Florida (PA9113597) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710424254
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN STORESCredential: PA-C
Location Address1544 COUNTY ROAD 220 STE 100Orange Park, FL 32003-4991
Mailing Address1959 Moorings CirMiddleburg, FL 32068-6645 · (904) 662-0310
Fax(904) 637-7991
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 23, 2017
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1710424254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9113597
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1544 COUNTY ROAD 220 STE 100, Orange Park, FL 32003

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Stores Pa-c 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.

PECOS PAC ID3678857760
PECOS Enrollment IDI20210828000080
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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
117 services114 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services79 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
59 services56 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Urgent Care)
1544 COUNTY ROAD 220 STE 100
ORANGE PARK, FL 32003
Physician Assistant
1544 COUNTY ROAD 220 STE 100
ORANGE PARK, FL 32003

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 Jordan Stores's NPI number?

The NPI number for Jordan Stores is 1710424254. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Jordan Stores located?

Jordan Stores practices at 1544 County Road 220 Ste 100, Orange Park, FL 32003. The listed phone number is (904) 223-2340.

What is Jordan Stores's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Stores enrolled in Medicare?

Yes. Jordan Stores 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.

What insurance does Jordan Stores accept?

Health plans from AvMed list Jordan Stores 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.

When was this NPI record last updated?

The NPPES record for Jordan Stores was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.