Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACLYN JORDAN MD
NPI 1770223547
Emergency Medicine in Wilkes Barre, PA

Q: What is Jaclyn Jordan's NPI number?

The NPI number for Jaclyn Jordan is 1770223547. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Jaclyn Jordan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Jordan was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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 March 30, 2022PECOS EnrolledAccepts Medicare Assignment

1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-7762(570) 808-6128 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jaclyn Jordan Md NPPES

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

JACLYN JORDAN MD (NPI 1770223547) is an individual emergency medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD493356) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770223547

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameJACLYN JORDANCredential: MD

Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0027

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7762 · Fax (570) 808-6128

Phone(570) 808-7762

Fax(570) 808-6128

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 30, 2022

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1770223547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in PA · MD493356

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 E MOUNTAIN DR, Wilkes Barre, PA 18711

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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 and accepts Medicare assignment

Jaclyn Jordan Md 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 ID547775983

PECOS Enrollment IDI20250715000129

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

DR. PAUL ANTHONY ARKLESS M.D.

Internal Medicine (Pulmonary Disease)

1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711

Luzerne County (570) 808-5770

DR. JEEWENDRA DULAL M.D.

Hospitalist