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JORDAN MCKENZIE PA-C
NPI 1962275040
Physician Assistant in Portage, MI

Active since November 01, 2023PECOS Enrolled
3000 OLD CENTRE RD, PORTAGE, MI 49024(269) 321-7546(269) 321-1705 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Nov 1, 2023 (2 updates tracked since 2023).

About Jordan Mckenzie Pa-c NPPES

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

JORDAN MCKENZIE PA-C (NPI 1962275040) is an individual physician assistant in Portage, Michigan and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962275040
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN MCKENZIECredential: PA-C
Location Address3000 OLD CENTRE RDPortage, MI 49024-4883
Mailing Address3000 Old Centre RdPortage, MI 49024-4883 · (269) 321-7546 · Fax (269) 321-1705
Phone(269) 321-7546
Fax(269) 321-1705
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 1, 2023
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1962275040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3000 OLD CENTRE RD, Portage, MI 49024
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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)

Jordan Mckenzie Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678054970
PECOS Enrollment IDI20260225001327
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 49024 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

GINA MARIE O'CALLAGHAN PA-C
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546
STEPHANIE SABATER-GEIB PA-C
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546
DAVID CHARLES SEMLER M.D.
Dermatology
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546
BROOKE OSBORNE BOYD PA-C
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546
DR. RYAN TIMOTHY JONES D.O.
Dermatology (MOHS-Micrographic Surgery)
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546
JEFFRY SCOTT FREEMAN PA
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546
NICOLE MARIE NUGENT PA-C
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546
DENNIS H KORDISH PA
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7546

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 Mckenzie's NPI number?

The NPI number for Jordan Mckenzie is 1962275040. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Jordan Mckenzie located?

Jordan Mckenzie practices at 3000 Old Centre Rd, Portage, MI 49024. The listed phone number is (269) 321-7546.

What is Jordan Mckenzie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Mckenzie enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Mckenzie was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.