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JORDAN M EDELEN PAC
NPI 1851764807
Physician Assistant in Louisville, KY

Active since November 12, 2015
908 DUPONT RD, LOUISVILLE, KY 40207(502) 749-7909(502) 749-9397 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2018, Oct 27, 2016, Sep 19, 2016 and 2 more (5 updates tracked since 2015).

About Jordan M Edelen Pac NPPES

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

JORDAN M EDELEN PAC (NPI 1851764807) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA2072) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1851764807
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN M EDELENCredential: PAC
Location Address908 DUPONT RDLouisville, KY 40207-4602
Mailing Address100 E Liberty St, Suite 800Louisville, KY 40202-1434 · (502) 749-7909 · Fax (502) 749-9397
Phone(502) 749-7909
Fax(502) 749-9397
Sole ProprietorNo
Enumeration DateNovember 12, 2015
Last NPPES UpdateMarch 20, 20185 updates tracked since enumeration
✔ NPI 1851764807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA2072
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
908 DUPONT RD, Louisville, KY 40207
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Other Identifiers 1

Medicaid7100375380KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 14

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

KEVAN PATRICK MCCULLUM APRN
Nurse Practitioner (Family)
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 749-7909
MRS. KRISTEN R WHEELER PA-C
Physician Assistant
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 749-7909
ACCESS ADULT HEALTH DAY CARE CENTER
Clinic/Center (Adult Day Care)
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 891-0029
HEATHER WINGFELD PA
Physician Assistant
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 749-7909
JENNIFER DAY
Nurse Practitioner
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 749-7909
ALISON MICHELLE CASSELL-HARRIS APRN-NP
Nurse Practitioner (Family)
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 749-7909
MRS. ELIZABETH ARNOLD PA-C
Physician Assistant (Medical)
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 749-7909
MANDY VITTITOW APRN
Nurse Practitioner (Family)
908 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 749-7909

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 Edelen's NPI number?

The NPI number for Jordan Edelen is 1851764807. It was assigned to this individual provider in the NPPES registry on November 12, 2015.

Where is Jordan Edelen located?

Jordan Edelen practices at 908 Dupont Rd, Louisville, KY 40207. The listed phone number is (502) 749-7909.

What is Jordan Edelen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Jordan Edelen accept?

Health plans from CareSource list Jordan Edelen 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 Edelen was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.