ANDREA JORDAN PMHNP
NPI 1962227413
Nurse Practitioner - Psychiatric/Mental Health in San Jose, CA
About Andrea Jordan Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA JORDAN PMHNP (NPI 1962227413) is an individual psychiatric/mental health provider in San Jose, California, licensed in California (NP95030814) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrea Jordan Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Jordan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95126
- Reassigned Medicare billing, California enrollment
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95131 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95131
SAN JOSE, CA 95131
SAN JOSE, CA 95131
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 Andrea Jordan's NPI number?
The NPI number for Andrea Jordan is 1962227413. It was assigned to this individual provider in the NPPES registry on November 20, 2024. The provider is also known as Andrea Clarke-Jordan Pmhnp.
Where is Andrea Jordan located?
Andrea Jordan practices at 2570 N 1st St Fl 2, San Jose, CA 95131. The listed phone number is (786) 809-1112.
What is Andrea Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Andrea Jordan enrolled in Medicare?
Yes. Andrea Jordan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrea Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Jordan reassigns Medicare benefits to 2 organizations: Ujima Adult And Family Services Inc (San Jose, CA) and Grow Healthcare Group PC (San Jose, CA). 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 Andrea 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 Andrea Jordan was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andrea Jordan, PMHNP · NPI 1962227413
Psychiatric/Mental Health physician in San Jose, California. Individual provider, active in the CMS NPPES registry since November 20, 2024.
## Identity
- **NPI:** 1962227413 (Entity type: Individual)
- **Enumerated:** November 20, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP95030814 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2570 N 1ST ST FL 2, San Jose, CA 95131-1035
- **Phone:** (786) 809-1112
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Ujima Adult And Family Services Inc (NPI 1194887950, San Jose, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962227413) · Data from the CMS NPPES public registry.