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JORDAN CISNEROS
NPI 1841874914
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since May 05, 2021PECOS Enrolled
12631 E 17TH AVE STE C316, AURORA, CO 80045(303) 724-6595 Get Directions Write a Review

NPPES record last updated: June 25, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 25, 2023, Mar 28, 2023, May 5, 2021 (3 updates tracked since 2021).

About Jordan Cisneros NPPES

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

JORDAN CISNEROS (NPI 1841874914) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0009545) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841874914
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN CISNEROS
Location Address12631 E 17TH AVE STE C316Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Ste C316Aurora, CO 80045-2527 · (303) 724-6595
Phone(303) 724-6595
Sole ProprietorYes
Enumeration DateMay 5, 2021
Last NPPES UpdateJune 25, 20233 updates tracked since enumeration
NPPES CertifiedJune 25, 2023
✔ NPI 1841874914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CO · TL.0009545
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12631 E 17TH AVE STE C316, Aurora, CO 80045
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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 (PECOS)

Jordan Cisneros is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ERIKA SUE BECERRA-ASHBY
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE C316
AURORA, CO 80045
Adams County (303) 724-6595

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 Cisneros's NPI number?

The NPI number for Jordan Cisneros is 1841874914. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Jordan Cisneros located?

Jordan Cisneros practices at 12631 E 17th Ave Ste C316, Aurora, CO 80045. The listed phone number is (303) 724-6595.

What is Jordan Cisneros's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Cisneros enrolled in Medicare?

Yes. Jordan Cisneros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Cisneros was last updated on June 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.