JORDAN GLEN MEMMOTT DO
NPI 1942959366
Emergency Medicine in Wichita Falls, TX

Active since March 22, 2022PECOS Enrolled
1600 11TH ST, WICHITA FALLS, TX 76301(940) 764-7000 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jordan Glen Memmott Do NPPES

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

JORDAN GLEN MEMMOTT DO (NPI 1942959366) is an individual emergency medicine provider in Wichita Falls, Texas, licensed in Texas (V9065) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1942959366
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJORDAN GLEN MEMMOTTCredential: DO
Location Address1600 11TH STWichita Falls, TX 76301-4388
Mailing Address470 S 200 ENephi, UT 84648-2110 · (435) 660-6219
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
NPI 1942959366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · V9065
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1600 11TH ST, Wichita Falls, TX 76301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jordan Glen Memmott Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426564410
PECOS Enrollment IDI20250717002618
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Family Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
Nurse Anesthetist, Certified Registered
1600 11TH ST, DEPT. ANESTHESIA
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942959366, enumerated as an "individual" on March 22, 2022.

The provider is located at 1600 11TH ST WICHITA FALLS, TX 76301 and the phone number is (940) 764-7000.

Emergency Medicine with taxonomy code 207P00000X.

Jordan Memmott is affiliated with: UNITED REGIONAL HEALTH CARE SYSTEM.