BLAKE NELSON JORDAN PA-C
NPI 1740159060
Physician Assistant - Medical in Park City, UT
About Blake Nelson Jordan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE NELSON JORDAN PA-C (NPI 1740159060) is an individual medical provider in Park City, Utah and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Blake Nelson 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.
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 Blake Jordan's NPI number?
The NPI number for Blake Jordan is 1740159060. It was assigned to this individual provider in the NPPES registry on November 4, 2025.
Where is Blake Jordan located?
Blake Jordan practices at 1784 Uinta Way Ste E, Park City, UT 84098. The listed phone number is (435) 604-0160.
What is Blake Jordan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Blake Jordan enrolled in Medicare?
Yes. Blake Jordan 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.
When was this NPI record last updated?
The NPPES record for Blake Jordan was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Blake Nelson Jordan, PA-C · NPI 1740159060
Medical physician in Park City, Utah. Individual provider, active in the CMS NPPES registry since November 4, 2025.
## Identity
- **NPI:** 1740159060 (Entity type: Individual)
- **Enumerated:** November 4, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 1784 UINTA WAY STE E, Park City, UT 84098-7669
- **Phone:** (435) 604-0160
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740159060) · Data from the CMS NPPES public registry.