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DR. KEVIN MITCHELL JORDAN MD
NPI 1891133377
Family Medicine in Tacoma, WA

Active since June 06, 2013PECOS Enrolled
9040 JACKSON, TACOMA, WA 98431(253) 968-5509 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2020, Mar 17, 2018, Jun 26, 2017 (3 updates tracked since 2017).

About Dr. Kevin Mitchell Jordan Md NPPES

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

DR. KEVIN MITCHELL JORDAN MD (NPI 1891133377) is an individual family medicine provider in Tacoma, Washington, licensed in Nebraska (28248) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tripler Army Medical Center.

NPPES Registry Identity

NPI1891133377
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN MITCHELL JORDANCredential: MD
Location Address9040 JACKSONTacoma, WA 98431-5001
Mailing Address1363 Aberdeen AveWsmr, NM 88002 · (575) 674-3500
Phone(253) 968-5509
Sole ProprietorNo
Enumeration DateJune 6, 2013
Last NPPES UpdateOctober 14, 20203 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1891133377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 28248
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9040 JACKSON, Tacoma, WA 98431
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Jarrett White Rd, Tripler Army Medical CenterTripler Army Medical Center, HI 96859-5001 · Phone (210) 241-9758

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Mitchell Jordan Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier11 claims11 services$60.26 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 2

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

DR. NOUANSY KHOWONG WILTON M.D.
Internal Medicine
9040 JACKSON
TACOMA, WA 98431
Pierce County (253) 968-0208
DR. CLAYTON JOSEPH OLNEY D.O.
Pediatrics (Neonatal-Perinatal Medicine)
9040 JACKSON, MAMC NICU
TACOMA, WA 98431
Pierce County (253) 968-0895

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 Kevin Jordan's NPI number?

The NPI number for Kevin Jordan is 1891133377. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Kevin Jordan located?

Kevin Jordan practices at 9040 Jackson, Tacoma, WA 98431. The listed phone number is (253) 968-5509.

What is Kevin Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Jordan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kevin Jordan was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.