JAN FORD NP
NPI 1912564428
Nurse Practitioner - Psychiatric/Mental Health in Lanoka Harbor, NJ

Active since May 21, 2019PECOS Enrolled
500 MAIN ST STE 1, LANOKA HARBOR, NJ 08734(732) 719-1920(732) 719-1920 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Dec 16, 2021, Oct 16, 2019 and 1 more (4 updates tracked since 2019).

About Jan Ford Np NPPES

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

JAN FORD NP (NPI 1912564428) is an individual psychiatric/mental health provider in Lanoka Harbor, New Jersey, licensed in New Jersey (26NJ00922600) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912564428
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAN FORDCredential: NP
Location Address500 MAIN ST STE 1Lanoka Harbor, NJ 08734-2228
Mailing Address500 Main St Ste 1Lanoka Harbor, NJ 08734-2228 · (732) 719-1920 · Fax (732) 719-1920
Fax(732) 719-1920
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 21, 2019
Last NPPES UpdateAugust 15, 20224 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
NPI 1912564428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NJ · 26NJ00922600
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00922600 (NJ)
500 MAIN ST STE 1, Lanoka Harbor, NJ 08734

Other Identifiers 3

Other26NJ00922600NJ · For Commercial Insurances
Medicaid26NJ00922600NJ
Other26NJ00922600NJ · Advanced Practice Nurse

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jan Ford Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517293962
PECOS Enrollment IDI20190724000093
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 08734 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
500 MAIN ST STE 1
LANOKA HARBOR, NJ 08734

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 Jan Ford's NPI number?

The NPI number for Jan Ford is 1912564428. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Jan Ford located?

Jan Ford practices at 500 Main St Ste 1, Lanoka Harbor, NJ 08734. The listed phone number is (732) 719-1920.

What is Jan Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jan Ford enrolled in Medicare?

Yes. Jan Ford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jan Ford was last updated on August 15, 2022. 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.