MR. ALEXANDER SCOTT JORDAN PA-C
NPI 1730877010
Physician Assistant in Lake Charles, LA

Q: What is Alexander Jordan's NPI number?

The NPI number for Alexander Jordan is 1730877010. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Q: What is Alexander Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexander Jordan was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 April 25, 2023PECOS EnrolledAccepts Medicare Assignment

2770 3RD AVE STE 120, LAKE CHARLES, LA 70601(337) 494-4868(337) 494-4870 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Alexander Scott Jordan Pa-c NPPES

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

MR. ALEXANDER SCOTT JORDAN PA-C (NPI 1730877010) is an individual physician assistant in Lake Charles, Louisiana, licensed in Louisiana (335456) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730877010

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ALEXANDER SCOTT JORDANCredential: PA-C

Location Address2770 3RD AVE STE 120Lake Charles, LA 70601-8994

Mailing AddressPo Box 122342Dallas, TX 75312-2342 · (337) 494-2921 · Fax (337) 494-6523

Phone(337) 494-4868

Fax(337) 494-4870

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 25, 2023

Last NPPES UpdateSeptember 19, 2024

NPPES CertifiedSeptember 19, 2024

✔ NPI 1730877010 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 LA · 335456

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.

2770 3RD AVE STE 120, Lake Charles, LA 70601

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Secondary Practice Locations 2

Location 11717 Oak Park Blvd Fl 1Lake Charles, LA 70601-8977 · Phone (337) 494-6820 · Fax (337) 494-6465

Location 22770 3rd Ave Ste 110Lake Charles, LA 70601-0404 · Phone (337) 494-4862 · Fax (337) 494-4863

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, UnitedHealthcare.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

Mr. Alexander Scott Jordan 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 ID4880125517

PECOS Enrollment IDI20241004000630

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 70601 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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 6

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

AMANDA SUSAN ELLINGTON MD

Surgery