JORDAN LEAH WALCZEWSKI NP
NPI 1952296436
Nurse Practitioner - Acute Care in South Bend, IN

Q: What is Jordan Walczewski's NPI number?

The NPI number for Jordan Walczewski is 1952296436. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Q: What is Jordan Walczewski'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 Jordan Walczewski was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2025PECOS EnrolledAccepts Medicare Assignment

621 MEMORIAL DR STE 502, SOUTH BEND, IN 46601(574) 647-5875(574) 647-5878 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2026, Dec 4, 2025, Jun 12, 2025 (3 updates tracked since 2025).

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About Jordan Leah Walczewski Np NPPES

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

JORDAN LEAH WALCZEWSKI NP (NPI 1952296436) is an individual acute care provider in South Bend, Indiana, licensed in Indiana (71017237A) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elkhart, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952296436

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJORDAN LEAH WALCZEWSKICredential: NP

Location Address621 MEMORIAL DR STE 502South Bend, IN 46601-1075

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2713

Phone(574) 647-5875

Fax(574) 647-5878

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 12, 2025

Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1952296436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LA2100X

License✔ Licensed in IN · 71017237A

621 MEMORIAL DR STE 502, South Bend, IN 46601

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Secondary Practice Location 1

Location 1500 Arcade Ave Ste 320Elkhart, IN 46514-2477 · Phone (574) 523-7900 · Fax (574) 523-7909

Other Identifiers 1

Medicaid300124537IN

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

Jordan Leah Walczewski 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 ID1355834888

PECOS Enrollment IDI20251203002792

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 46601 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 19

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

OLIVIA SUZANNE RYAN

Nurse Practitioner (Family)