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

Active since December 05, 2014Opted out of Medicare · through Apr 1, 2027
9500 MENTOR AVE STE 100, MENTOR, OH 44060(440) 352-4880 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Smith Pa-c NPPES

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

JORDAN SMITH PA-C (NPI 1932507092) is an individual medical provider in Mentor, Ohio, licensed in Ohio (004178) and active in the NPI registry since December 2014. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932507092
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJORDAN SMITHCredential: PA-C
Location Address9500 MENTOR AVE STE 100Mentor, OH 44060-8702
Mailing Address197 Shoreland CirWillowick, OH 44095-4690 · (330) 806-9505
Sole ProprietorYes
Enumeration DateDecember 5, 2014
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1932507092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 004178
9500 MENTOR AVE STE 100, Mentor, OH 44060

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jordan Smith Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

Family Medicine
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Family Medicine
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Nurse Practitioner
9500 MENTOR AVE STE 100
MENTOR, OH 44060
Nurse Practitioner (Family)
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Smith's NPI number?

The NPI number for Jordan Smith is 1932507092. It was assigned to this individual provider in the NPPES registry on December 5, 2014.

Where is Jordan Smith located?

Jordan Smith practices at 9500 Mentor Ave Ste 100, Mentor, OH 44060. The listed phone number is (440) 352-4880.

What is Jordan Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jordan Smith enrolled in Medicare?

No. Jordan Smith has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jordan Smith accept?

Health plans from CareSource list Jordan Smith 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.

When was this NPI record last updated?

The NPPES record for Jordan Smith was last updated on March 25, 2021. 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.