JORDYN NICOLE DORMAN
NPI 1730848862
Nurse Practitioner - Acute Care in Galesburg, IL

Q: What is Jordyn Dorman's NPI number?

The NPI number for Jordyn Dorman is 1730848862. It was assigned to this individual provider in the NPPES registry on December 16, 2021.

Q: What is Jordyn Dorman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jordyn Dorman was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 16, 2021PECOS Enrolled

3333 N SEMINARY ST, GALESBURG, IL 61401(309) 344-6161 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2021, Dec 16, 2021 (2 updates tracked since 2021).

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About Jordyn Nicole Dorman NPPES

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

JORDYN NICOLE DORMAN (NPI 1730848862) is an individual acute care provider in Galesburg, Illinois, licensed in Illinois (209024585) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730848862

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJORDYN NICOLE DORMAN

Location Address3333 N SEMINARY STGalesburg, IL 61401-1251

Mailing Address750 W Old Vine StCanton, IL 61520 · (309) 259-0114

Phone(309) 344-6161

Sole ProprietorNo

Enumeration DateDecember 16, 2021

Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration

NPPES CertifiedDecember 22, 2021

✔ NPI 1730848862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209024585

Also ListedRegistered NurseTaxonomy 163W00000X · License 041503368 (IL)

3333 N SEMINARY ST, Galesburg, IL 61401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordyn Nicole Dorman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

PATRICIA M WILSON

Nurse Anesthetist, Certified Registered