DR. JORDAN JUSTIN TJEERD MULDER D.O.
NPI 1902054760
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Olympia, WA

Q: What is Jordan Mulder's NPI number?

The NPI number for Jordan Mulder is 1902054760. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Q: What is Jordan Mulder's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Mulder was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 05, 2008PECOS EnrolledAccepts Medicare Assignment

3920 CAPITAL MALL DR SW STE 100A, OLYMPIA, WA 98502(360) 704-4745(360) 704-4746 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jordan Justin Tjeerd Mulder D.o. NPPES

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

DR. JORDAN JUSTIN TJEERD MULDER D.O. (NPI 1902054760) is an individual otolaryngology/facial plastic surgery provider in Olympia, Washington, licensed in Washington (OP60262509) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902054760

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameDR. JORDAN JUSTIN TJEERD MULDERCredential: D.O.

Location Address3920 CAPITAL MALL DR SW STE 100AOlympia, WA 98502-8701

Mailing Address404b Black Hills Lane Sw, Capital EntOlympia, WA 98502-8654 · (360) 704-4745 · Fax (360) 704-4746

Phone(360) 704-4745

Fax(360) 704-4746

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 5, 2008

Last NPPES UpdateDecember 16, 2019

✔ NPI 1902054760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in WA · OP60262509

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

3920 CAPITAL MALL DR SW STE 100A, Olympia, WA 98502

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Justin Tjeerd Mulder D.o. 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.

PECOS PAC ID7517135916

PECOS Enrollment IDI20120705000459

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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

310 services310 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

280 services224 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

124 services108 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

96 services76 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

81 services70 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services53 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

49 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

42 services42 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

25 services24 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

20 services20 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

16 services13 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

15 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500019

Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County

Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500031

Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County

Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500139

Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County

Emergency services Birthing friendly

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.

ALAN LEE COWAN MD

Otolaryngology

3920 CAPITAL MALL DR SW STE 100A
OLYMPIA, WA 98502

Thurston County (360) 704-4745

ANALEIS MASTERS MS RDN CD ACSM CEP

Dietitian, Registered

3920 CAPITAL MALL DR SW STE 100A
OLYMPIA, WA 98502

Thurston County (360) 596-4614

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 Mulder's NPI number?

The NPI number for Jordan Mulder is 1902054760. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Jordan Mulder located?

Jordan Mulder practices at 3920 Capital Mall Dr SW Ste 100A, Olympia, WA 98502. The listed phone number is (360) 704-4745.

What is Jordan Mulder's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Jordan Mulder enrolled in Medicare?

Yes. Jordan Mulder 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.

What insurance does Jordan Mulder accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jordan Mulder 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.

Is Jordan Mulder affiliated with any hospitals?

According to CMS data, Jordan Mulder is affiliated with Providence Centralia Hospital, Providence St Peter Hospital, Grays Harbor Community Hospital, Tacoma General Allenmore Hospital and Capital Medical Center.

When was this NPI record last updated?

The NPPES record for Jordan Mulder was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.