MR. JUSTIN KIMBERLAND JOURDAN RN, MSN, FNP-C
NPI 1730642166
Nurse Practitioner - Family in Long Beach, MS
About Mr. Justin Kimberland Jourdan Rn, Msn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN KIMBERLAND JOURDAN RN, MSN, FNP-C (NPI 1730642166) is an individual family provider in Long Beach, Mississippi, licensed in Mississippi (903308) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Phs Indian Hospital At Rosebud, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Justin Kimberland Jourdan Rn, Msn, Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Jourdan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pass Christian, MS 39571
- Reassigned Medicare billing, Mississippi enrollment
- 90 clinicians in this Medicare group
Rosebud, SD 57570
- Reassigned Medicare billing, Texas enrollment
- 386 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phs Indian Hospital At Rosebud
Acute Care Hospitals · Rosebud, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Justin Jourdan's NPI number?
The NPI number for Justin Jourdan is 1730642166. It was assigned to this individual provider in the NPPES registry on April 11, 2019.
Where is Justin Jourdan located?
Justin Jourdan practices at 523 Arbor Station Dr, Long Beach, MS 39560. The listed phone number is (228) 860-4502.
What is Justin Jourdan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Jourdan enrolled in Medicare?
Yes. Justin Jourdan 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 Justin Jourdan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Jourdan reassigns Medicare benefits to 2 organizations: Coastal Family Health Center, Inc (Pass Christian, MS) and Rosebud Indian Health Service (Rosebud, SD). 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 Justin Jourdan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Jourdan affiliated with any hospitals?
According to CMS data, Justin Jourdan is affiliated with Phs Indian Hospital At Rosebud.
When was this NPI record last updated?
The NPPES record for Justin Jourdan was last updated on April 11, 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.
# Mr. Justin Kimberland Jourdan, RN, MSN, FNP-C · NPI 1730642166
Family physician in Long Beach, Mississippi. Individual provider, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1730642166 (Entity type: Individual)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903308 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 523 ARBOR STATION DR, Long Beach, MS 39560-5734
- **Phone:** (228) 860-4502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Coastal Family Health Center, Inc (NPI 1659950202, Pass Christian, MS); Rosebud Indian Health Service (NPI 1194757369, Rosebud, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1730642166) · Data from the CMS NPPES public registry.