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JENNIFER MARIE JORDAN MD
NPI 1962081646
Pediatrics in Hazleton, PA

Active since April 07, 2021PECOS Enrolled
564 W BROAD ST, HAZLETON, PA 18201(484) 884-4500 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2024, Apr 7, 2021 (2 updates tracked since 2021).

About Jennifer Marie Jordan Md NPPES

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

JENNIFER MARIE JORDAN MD (NPI 1962081646) is an individual pediatrics provider in Hazleton, Pennsylvania, licensed in Pennsylvania (MD486020) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962081646
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER MARIE JORDANCredential: MD
Location Address564 W BROAD STHazleton, PA 18201-6108
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500
Phone(484) 884-4500
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1962081646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD486020
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
564 W BROAD ST, Hazleton, PA 18201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marie Jordan Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Jordan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
General Practice
564 W BROAD ST, SUITE 2
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hazleton Professional Services
  • 305 clinicians in this Medicare group
NPI 1942609599 (570) 501-6220
Lehigh Valley Physician Group
Same address
General Practice
564 W BROAD ST, SUITE 2
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1942609599 (570) 501-6220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 6

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

STEPHAN R GLICKEN MD
Pediatrics
564 W BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 501-6400
MRS. JOCELYN ELIZABETH MASOTTI PA-C
Physician Assistant (Medical)
564 W BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 501-6400
DR. JAMES FRANCIS CAGGIANO MD
Pediatrics
564 W BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 501-6400
MRS. LAURA SHALLENBERGER PA-C
Physician Assistant (Medical)
564 W BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 501-6400
MRS. BRITTANY TERESE CAVANAUGH CPNP-PC
Nurse Practitioner (Pediatrics)
564 W BROAD ST
HAZLETON, PA 18201
Luzerne County (484) 884-4500
LEHIGH VALLEY PHYSICIAN GROUP
General Practice
564 W BROAD ST, SUITE 2
HAZLETON, PA 18201
Luzerne County (570) 501-6220

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 Jennifer Jordan's NPI number?

The NPI number for Jennifer Jordan is 1962081646. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Jennifer Jordan located?

Jennifer Jordan practices at 564 W Broad St, Hazleton, PA 18201. The listed phone number is (484) 884-4500.

What is Jennifer Jordan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Jordan enrolled in Medicare?

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

Which organizations bill Medicare for Jennifer Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Jordan reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Hazleton, PA) and Lehigh Valley Physician Group (Hazleton, PA). Each 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 Jennifer Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Jordan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jennifer Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Jordan was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.