MICHAEL J JORDAN NP
NPI 1932566288
Nurse Practitioner - Acute Care in Urbana, IL

Q: What is Michael Jordan's NPI number?

The NPI number for Michael Jordan is 1932566288. It was assigned to this individual provider in the NPPES registry on January 18, 2016.

Q: What is Michael Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Jordan was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2016PECOS EnrolledAccepts Medicare Assignment

611 W PARK ST, HVI, URBANA, IL 61801(217) 904-7000(217) 904-7742 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2020, Feb 1, 2016, Jan 18, 2016 (3 updates tracked since 2016).

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About Michael J Jordan Np NPPES

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

MICHAEL J JORDAN NP (NPI 1932566288) is an individual acute care provider in Urbana, Illinois, licensed in California (95015046) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1932566288

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMICHAEL J JORDANCredential: NP

Location Address611 W PARK ST, HVIUrbana, IL 61801-2529

Mailing Address400 Parnassus Ave, # 655San Francisco, CA 94143-2202 · (217) 383-6792

Phone(217) 904-7000

Fax(217) 904-7742

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 18, 2016

Last NPPES UpdateAugust 22, 20203 updates tracked since enumeration

NPPES CertifiedAugust 22, 2020

✔ NPI 1932566288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in CA · 95015046✔ Licensed in IL · 209013781

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95015046 (CA)

611 W PARK ST, Urbana, IL 61801

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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

Michael J Jordan Np 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 ID1355646423

PECOS Enrollment IDI20200914002761

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 61801 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$14.86 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$62.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology