JORDYN NICOLE DORMAN
NPI 1730848862
Nurse Practitioner - Acute Care in Galesburg, IL
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordyn Nicole Dorman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jordyn Dorman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Galesburg, IL 61401
- Reassigned Medicare billing, Illinois enrollment
- 134 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Illinois enrollment
- 48 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.
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.
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.
GALESBURG, IL 61401
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 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.
Where is Jordyn Dorman located?
Jordyn Dorman practices at 3333 N Seminary St, Galesburg, IL 61401. The listed phone number is (309) 344-6161.
What is Jordyn Dorman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jordyn Dorman enrolled in Medicare?
Yes. Jordyn Dorman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jordyn Dorman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordyn Dorman reassigns Medicare benefits to 2 organizations: Graham Hospital Association (Galesburg, IL) and Central Prairie Physicians PLLC (Lubbock, TX). 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 Jordyn Dorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jordyn Nicole Dorman · NPI 1730848862
Acute Care physician in Galesburg, Illinois. Individual provider, active in the CMS NPPES registry since December 16, 2021.
## Identity
- **NPI:** 1730848862 (Entity type: Individual)
- **Enumerated:** December 16, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209024585 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 N SEMINARY ST, Galesburg, IL 61401-1251
- **Phone:** (309) 344-6161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Graham Hospital Association (NPI 1134975576, Galesburg, IL); Central Prairie Physicians PLLC (NPI 1821884750, Lubbock, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730848862) · Data from the CMS NPPES public registry.