ROSETTA MAMIE JORDAN
NPI 1942934666
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC
About Rosetta Mamie Jordan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSETTA MAMIE JORDAN (NPI 1942934666) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in District Of Columbia (NP1024215) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rosetta Mamie Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rosetta Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21287
- Reassigned Medicare billing, District of Columbia enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20016 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, DC 20016
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 Rosetta Jordan's NPI number?
The NPI number for Rosetta Jordan is 1942934666. It was assigned to this individual provider in the NPPES registry on July 11, 2022.
Where is Rosetta Jordan located?
Rosetta Jordan practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 537-4686.
What is Rosetta Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Rosetta Jordan enrolled in Medicare?
Yes. Rosetta Jordan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rosetta Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rosetta Jordan reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosetta Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rosetta Jordan was last updated on April 21, 2023. 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.
# Rosetta Mamie Jordan · NPI 1942934666
Psychiatric/Mental Health physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since July 11, 2022.
## Identity
- **NPI:** 1942934666 (Entity type: Individual)
- **Enumerated:** July 11, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP1024215 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5255 LOUGHBORO RD NW, Washington, DC 20016-2633
- **Phone:** (202) 537-4686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Johns Hopkins University (NPI 1891072286, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942934666) · Data from the CMS NPPES public registry.