JORDAN SPAKE PA
NPI 1720679947
Physician Assistant in Morehead City, NC

Active since January 30, 2021PECOS EnrolledAccepts Medicare Assignment
3714 GUARDIAN AVE STE E, MOREHEAD CITY, NC 28557(910) 332-3800(910) 251-0421 Get Directions Write a Review

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

Record update history: Jan 28, 2022, Jan 22, 2022, Jan 30, 2021 (3 updates tracked since 2021).

About Jordan Spake Pa NPPES

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

JORDAN SPAKE PA (NPI 1720679947) is an individual physician assistant in Morehead City, North Carolina, licensed in North Carolina (001011918) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains a secondary practice location in Morehead City.

NPPES Registry Identity

NPI1720679947
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN SPAKECredential: PA
Location Address3714 GUARDIAN AVE STE EMorehead City, NC 28557-2975
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Fax(910) 251-0421
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 30, 2021
Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
NPI 1720679947 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 NC · 001011918
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.
3714 GUARDIAN AVE STE E, Morehead City, NC 28557

Secondary Practice Location 1

Location 13714 Guardian Ave Ste EMorehead City, NC 28557-2975 · Phone (252) 247-2101 · Fax (252) 247-4675

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 Spake Pa 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 ID7416340294
PECOS Enrollment IDI20220201000385
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 26

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
704 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
379 services223 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
247 services129 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
155 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services103 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
111 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28557 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery (Sports Medicine)
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557
Physician Assistant
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557
Physician Assistant (Surgical)
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557
Surgery
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557
Physician Assistant
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557
Orthopaedic Surgery (Sports Medicine)
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557
Surgery
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557
Durable Medical Equipment & Medical Supplies
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557

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 Spake's NPI number?

The NPI number for Jordan Spake is 1720679947. It was assigned to this individual provider in the NPPES registry on January 30, 2021.

Where is Jordan Spake located?

Jordan Spake practices at 3714 Guardian Ave Ste E, Morehead City, NC 28557. The listed phone number is (910) 332-3800.

What is Jordan Spake's specialty?

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

Is Jordan Spake enrolled in Medicare?

Yes. Jordan Spake 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 Spake accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jordan Spake 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.

Is Jordan Spake affiliated with any hospitals?

According to CMS data, Jordan Spake is affiliated with Onslow Memorial Hospital and Carteret General Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Spake was last updated on December 22, 2023. 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.