LYNN JORDAN RN, MSN, FNP
NPI 1770911745
Registered Nurse in Middletown, CA

Q: What is Lynn Jordan's NPI number?

The NPI number for Lynn Jordan is 1770911745. It was assigned to this individual provider in the NPPES registry on October 29, 2013.

Q: What is Lynn Jordan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lynn Jordan was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 29, 2013PECOS EnrolledAccepts Medicare Assignment

78.28/100

CMS Quality Rating

21337 BUSH STREET, MIDDLETOWN, CA 95461(707) 987-3311 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lynn Jordan Rn, Msn, Fnp NPPES

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

LYNN JORDAN RN, MSN, FNP (NPI 1770911745) is an individual registered nurse in Middletown, California, licensed in California (696262) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770911745

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameLYNN JORDANCredential: RN, MSN, FNP

Location Address21337 BUSH STREETMiddletown, CA 95461

Mailing Address21337 Bush StreetMiddletown, CA 95461 · (707) 987-3311

Phone(707) 987-3311

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 29, 2013

Last NPPES UpdateJuly 1, 2015

✔ NPI 1770911745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 696262

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95002565 (CA)

21337 BUSH STREET, Middletown, CA 95461

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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

Lynn Jordan Rn, Msn, Fnp 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 ID7719292218

PECOS Enrollment IDI20150812008542

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.31

Promoting Interoperability

Improvement Activities

Cost

45.47

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers17 claims32 services$6.61 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$67.94 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers13 claims69 services$3.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$21.32 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers63 claims66 services$41.44 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers67 claims67 services$113.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KIMBERLY JO FORDHAM MD

Family Medicine

21337 BUSH STREET
MIDDLETOWN, CA 95461

Lake County (707) 987-3311

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 Lynn Jordan's NPI number?

The NPI number for Lynn Jordan is 1770911745. It was assigned to this individual provider in the NPPES registry on October 29, 2013.

Where is Lynn Jordan located?

Lynn Jordan practices at 21337 Bush Street, Middletown, CA 95461. The listed phone number is (707) 987-3311.

What is Lynn Jordan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Lynn Jordan enrolled in Medicare?

Yes. Lynn 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 Lynn Jordan was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.