JORDAN N KNICKERBOCKER NP
NPI 1811676786
Nurse Practitioner - Pediatrics in Grand Junction, CO
About Jordan N Knickerbocker Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN N KNICKERBOCKER NP (NPI 1811676786) is an individual pediatrics provider in Grand Junction, Colorado, licensed in Colorado (PENDING) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan N Knickerbocker Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Knickerbocker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Junction, CO 81506
- Reassigned Medicare billing, Colorado enrollment
- 64 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 81506 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.
GRAND JUNCTION, CO 81506
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 Jordan Knickerbocker's NPI number?
The NPI number for Jordan Knickerbocker is 1811676786. It was assigned to this individual provider in the NPPES registry on July 17, 2023. The provider is also known as Jordan N Deboer.
Where is Jordan Knickerbocker located?
Jordan Knickerbocker practices at 3150 N 12th St, Grand Junction, CO 81506. The listed phone number is (970) 254-2642.
What is Jordan Knickerbocker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jordan Knickerbocker enrolled in Medicare?
Yes. Jordan Knickerbocker 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.
Which organization bills Medicare for Jordan Knickerbocker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Knickerbocker reassigns Medicare benefits to Primary Care Partners, Inc. (Grand Junction, CO). The 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 Jordan Knickerbocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Knickerbocker accept?
Health plans from Select Health list Jordan Knickerbocker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jordan Knickerbocker was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jordan N Knickerbocker, NP · NPI 1811676786
Pediatrics physician in Grand Junction, Colorado. Individual provider, active in the CMS NPPES registry since July 17, 2023.
## Identity
- **NPI:** 1811676786 (Entity type: Individual)
- **Enumerated:** July 17, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** PENDING (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3150 N 12TH ST, Grand Junction, CO 81506-2863
- **Phone:** (970) 254-2642
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Primary Care Partners, Inc. (NPI 1245392612, Grand Junction, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2023
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811676786) · Data from the CMS NPPES public registry.