JORDAN SMITH PA-C
NPI 1932507092
Physician Assistant - Medical in Mentor, OH

NPI Status: Active since December 05, 2014

Contact Information

9500 MENTOR AVE STE 100
MENTOR, OH
ZIP 44060
Phone: (440) 352-4880

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About JORDAN SMITH

This page provides the complete NPI Profile along with additional information for Jordan Smith, a primary care provider established in Mentor, Ohio with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1932507092 assigned on December 2014. The practitioner's primary taxonomy code is 363AM0700X with license number 004178 (OH). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1932507092
Provider Name
JORDAN SMITH PA-C
Gender
Male
Entity Type
Individual
Location Address
9500 MENTOR AVE STE 100 MENTOR, OH 44060
Location Phone
(440) 352-4880
Mailing Address
197 SHORELAND CIR WILLOWICK, OH 44095
Mailing Phone
(330) 806-9505
Is Sole Proprietor?
Yes
Enumeration Date
12-05-2014
Last Update Date
03-25-2021
Code Navigator

A primary care provider (PCP) like Jordan Smith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jordan Smith opted out of Medicare effective on 04-01-2025 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
004178
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jordan Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2025

  • Opt-Out End Date: 04-01-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JORDAN SMITH PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932507092, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 1 + 0 + 0 + 1 + 4 + 0 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1932507092.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Nurse Practitioner
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Family Medicine
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Family Medicine
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Nurse Practitioner (Family)
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Pharmacist
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Physician Assistant
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Family Medicine
9500 MENTOR AVE STE 100
MENTOR, OH 44060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932507092, enumerated as an "individual" on December 05, 2014.

The provider is located at 9500 MENTOR AVE STE 100 MENTOR, OH 44060 and the phone number is (440) 352-4880.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.