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MS. JORDAN BLACK CPNP-PC
NPI 1902496540
Nurse Practitioner - Pediatrics in Town And Country, MO

Active since January 18, 2021PECOS Enrolled
13001 N OUTER 40 RD, TOWN AND COUNTRY, MO 63017(314) 454-5437 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Nov 3, 2021, Jan 18, 2021 (3 updates tracked since 2021).

About Ms. Jordan Black Cpnp-pc NPPES

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

MS. JORDAN BLACK CPNP-PC (NPI 1902496540) is an individual pediatrics provider in Town And Country, Missouri, licensed in Missouri (2020021017) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1902496540
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. JORDAN BLACKCredential: CPNP-PC
Location Address13001 N OUTER 40 RDTown And Country, MO 63017-5941
Mailing Address13001 N Outer 40 RdTown And Country, MO 63017-5941
Phone(314) 454-5437
Sole ProprietorNo
Enumeration DateJanuary 18, 2021
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1902496540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2020021017
13001 N OUTER 40 RD, Town And Country, MO 63017
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 482-2323

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jordan Black Cpnp-pc 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 63017 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 20

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

DR. JANET G MUELLER MD
Pediatrics
13001 N OUTER 40 RD, STE 340
CHESTERFIELD, MO 63017
St. Louis County (314) 454-6444
DR. REBECCA K BULLIVANT MD
Pediatrics
13001 N OUTER 40 RD, STE 340
CHESTERFIELD, MO 63017
St. Louis County (314) 454-6444
DR. LAURA LEIGH MEYERS MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
13001 N OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 1C
CHESTERFIELD, MO 63017
St. Louis County (314) 514-3500
MS. EMILY MICHELLE RHODES PNP
Nurse Practitioner (Pediatrics)
13001 N OUTER 40 RD, DIV NEUROLOGY PEDIATRICS, STE 1A
CHESTERFIELD, MO 63017
St. Louis County (314) 454-6120
DR. KRISTINE G WILLIAMS MD
Pediatrics
13001 N OUTER 40 RD, STE 310
CHESTERFIELD, MO 63017
St. Louis County (314) 454-6400
MS. ANNE ELIZABETH WEISSLER PA
Physician Assistant
13001 N OUTER 40 RD, DIV IM DERMATOLOGY, STE 2D
CHESTERFIELD, MO 63017
St. Louis County (314) 273-3376
MS. MERIELLE NICOLE BIRD FNP
Nurse Practitioner (Family)
13001 N OUTER 40 RD, DIV NEUROLOGY PEDIATRICS, STE 1A
CHESTERFIELD, MO 63017
St. Louis County (314) 454-6120
WASHINGTON UNIVERSITY
Durable Medical Equipment & Medical Supplies
13001 N OUTER 40 RD
TOWN AND COUNTRY, MO 63017
St. Louis County (314) 454-3013

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 Black's NPI number?

The NPI number for Jordan Black is 1902496540. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Jordan Black located?

Jordan Black practices at 13001 N Outer 40 Rd, Town And Country, MO 63017. The listed phone number is (314) 454-5437.

What is Jordan Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jordan Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Black was last updated on July 10, 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.