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JORDAN MAXEY MD
NPI 1972032266
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since June 08, 2017PECOS Enrolled
2215 FULLER RD, ANN ARBOR, MI 48105(734) 845-5290 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Maxey Md NPPES

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

JORDAN MAXEY MD (NPI 1972032266) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4301112038) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972032266
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN MAXEYCredential: MD
Location Address2215 FULLER RDAnn Arbor, MI 48105-2303
Mailing Address1500 E Medical Center Dr # Tc3116Ann Arbor, MI 48109-5000
Phone(734) 845-5290
Sole ProprietorNo
Enumeration DateJune 8, 2017
✔ NPI 1972032266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4301112038
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2215 FULLER RD, Ann Arbor, MI 48105
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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 Maxey 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.

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.

MS. CONSTANCE LAROSA RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
THOMAS F CURRAN
Anesthesiology
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5342
MRS. NICHELLE BOWMAN RN
Registered Nurse
2215 FULLER RD, RADIATION ONCOLOGY 114B
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3914
MRS. CAREY ANN MICHEL RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 222-4230
JACQUELYN VANZILE LPCC
Counselor (Mental Health)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
CARRIE JO HERNANDEZ RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5598
ERIC PATTERSON PTA
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3829
MS. AMIE RICHARDSON
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

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 Maxey's NPI number?

The NPI number for Jordan Maxey is 1972032266. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Jordan Maxey located?

Jordan Maxey practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 845-5290.

What is Jordan Maxey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Maxey enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Maxey was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.