JENNA JORDAN
NPI 1932572393
Nurse Practitioner - Adult Health in Wildwood, MO
About Jenna Jordan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA JORDAN (NPI 1932572393) is an individual adult health provider in Wildwood, Missouri, licensed in Missouri (2015032917) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenna Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILDWOOD, MO 63040
WILDWOOD, MO 63040
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 Jenna Jordan's NPI number?
The NPI number for Jenna Jordan is 1932572393. It was assigned to this individual provider in the NPPES registry on November 7, 2015. The provider is also known as Jenna Kinsinger.
Where is Jenna Jordan located?
Jenna Jordan practices at 16555 Manchester Rd Suite 100, Wildwood, MO 63040. The listed phone number is (636) 458-0646.
What is Jenna Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jenna Jordan enrolled in Medicare?
Yes. Jenna Jordan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jenna Jordan was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jenna Jordan · NPI 1932572393
Adult Health physician in Wildwood, Missouri. Individual provider, active in the CMS NPPES registry since November 7, 2015.
## Identity
- **NPI:** 1932572393 (Entity type: Individual)
- **Enumerated:** November 7, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 2015032917 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 16555 MANCHESTER RD, SUITE 100, Wildwood, MO 63040-1220
- **Phone:** (636) 458-0646
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 26, 2016
- **Other identifiers:** Medicare PIN 152800293 (MO); Medicaid 1932572393 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1932572393) · Data from the CMS NPPES public registry.