KATHRYN ROSE JORDAN NP
NPI 1881580264
Nurse Practitioner - Family in Marcellus, NY
About Kathryn Rose Jordan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN ROSE JORDAN NP (NPI 1881580264) is an individual family provider in Marcellus, New York, licensed in New York (356923) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Kathryn Rose Jordan 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 Kathryn Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marcellus, NY 13108
- Reassigned Medicare billing, New York enrollment
- 8 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Patrick ***** June 21, 2025
5/5Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathryn Jordan's NPI number?
The NPI number for Kathryn Jordan is 1881580264. It was assigned to this individual provider in the NPPES registry on June 13, 2025.
Where is Kathryn Jordan located?
Kathryn Jordan practices at 28 1/2 E Main St, Marcellus, NY 13108. The listed phone number is (315) 673-9926.
What is Kathryn Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathryn Jordan enrolled in Medicare?
Yes. Kathryn 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.
Which organization bills Medicare for Kathryn Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Jordan reassigns Medicare benefits to Marcellus Family Medicine PLLC (Marcellus, NY). 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 Kathryn Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathryn Jordan affiliated with any hospitals?
According to CMS data, Kathryn Jordan is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Kathryn Jordan was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kathryn Rose Jordan, NP · NPI 1881580264
Family physician in Marcellus, New York. Individual provider, active in the CMS NPPES registry since June 13, 2025.
## Identity
- **NPI:** 1881580264 (Entity type: Individual)
- **Enumerated:** June 13, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 356923 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 28 1/2 E MAIN ST, Marcellus, NY 13108-1298
- **Phone:** (315) 673-9926
## 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:** Marcellus Family Medicine PLLC (NPI 1245427640, Marcellus, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881580264) · Data from the CMS NPPES public registry.