DR. JORDAN JAMES PETERSEN DO
NPI 1952979163
Physical Medicine & Rehabilitation - Pain Medicine in Ann Arbor, MI

Q: What is Jordan Petersen's NPI number?

The NPI number for Jordan Petersen is 1952979163. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Q: What is Jordan Petersen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Petersen was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since June 14, 2021PECOS Enrolled

325 E EISENHOWER PKWY, ANN ARBOR, MI 48108(734) 763-6464 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 8, 2025, May 11, 2025, Mar 14, 2025 and 1 more (4 updates tracked since 2021).

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About Dr. Jordan James Petersen Do NPPES

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

DR. JORDAN JAMES PETERSEN DO (NPI 1952979163) is an individual pain medicine provider in Ann Arbor, Michigan, licensed in Michigan (5101028465) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952979163

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameDR. JORDAN JAMES PETERSENCredential: DO

Location Address325 E EISENHOWER PKWYAnn Arbor, MI 48108-3364

Mailing Address325 E Eisenhower PkwyAnn Arbor, MI 48108-3364 · (734) 763-6464

Phone(734) 763-6464

Sole ProprietorNo

Enumeration DateJune 14, 2021

Last NPPES UpdateJune 8, 20254 updates tracked since enumeration

NPPES CertifiedJune 8, 2025

✔ NPI 1952979163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in MI · 5101028465

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

325 E EISENHOWER PKWY, Ann Arbor, MI 48108

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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 (PECOS)

Dr. Jordan James Petersen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SHARIS NICOLE STEIB

Physical Medicine & Rehabilitation (Pain Medicine)

325 E EISENHOWER PKWY
ANN ARBOR, MI 48108

Washtenaw County (734) 647-2852

DONNA JEAN HUELKE PA-C

Physician Assistant

325 E EISENHOWER PKWY, SUITE 100
ANN ARBOR, MI 48108

Washtenaw County (734) 936-7175

LINDA HOGAN KRUS

Physical Therapist

325 E EISENHOWER PKWY
ANN ARBOR, MI 48108

Washtenaw County (734) 763-4891

KIMBERLY CHIN BIALIK PHD

Psychologist (Clinical)

325 E EISENHOWER PKWY, SUITE 100
ANN ARBOR, MI 48108

Washtenaw County (734) 763-5459

KARI KATERBERG DPT, OCS

Physical Therapist (Orthopedic)

325 E EISENHOWER PKWY
ANN ARBOR, MI 48108

Washtenaw County (734) 763-6464

MR. ANDREW BAKER MARSH P.T.

Clinic/Center (Physical Therapy)

325 E EISENHOWER PKWY, SECOND FLOOR
ANN ARBOR, MI 48108

Washtenaw County (734) 763-4767

MRS. LELA RASEGAN OTRL

Occupational Therapist

325 E EISENHOWER PKWY
ANN ARBOR, MI 48108

Washtenaw County (734) 232-0000

ANSHUL KUMAR KULKARNI MD

Student in an Organized Health Care Education/Training Program

325 E EISENHOWER PKWY
ANN ARBOR, MI 48108

Washtenaw County (734) 936-7175

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 Jordan Petersen's NPI number?

The NPI number for Jordan Petersen is 1952979163. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Jordan Petersen located?

Jordan Petersen practices at 325 E Eisenhower Pkwy, Ann Arbor, MI 48108. The listed phone number is (734) 763-6464.

What is Jordan Petersen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jordan Petersen enrolled in Medicare?

Yes. Jordan Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Petersen was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.