JORDAN LEE SANDOVAL
NPI 1972433936
Nurse Practitioner - Family in Stewartstown, PA
About Jordan Lee Sandoval NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN LEE SANDOVAL (NPI 1972433936) is an individual family provider in Stewartstown, Pennsylvania, licensed in Pennsylvania (SP036263) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2026).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Lee Sandoval is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stewartstown, PA 17363
- Reassigned Medicare billing, Pennsylvania enrollment
- 468 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 17363 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sandoval's NPI number?
The NPI number for Jordan Sandoval is 1972433936. It was assigned to this individual provider in the NPPES registry on May 21, 2026.
Where is Jordan Sandoval located?
Jordan Sandoval practices at 200 Bailey Dr Ste 101, Stewartstown, PA 17363. The listed phone number is (717) 993-2543.
What is Jordan Sandoval's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jordan Sandoval enrolled in Medicare?
Yes. Jordan Sandoval is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Sandoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Sandoval reassigns Medicare benefits to Pinnacle Health Regional Physicians (Stewartstown, PA). The 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 Jordan Sandoval'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 Jordan Sandoval was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jordan Lee Sandoval · NPI 1972433936
Family physician in Stewartstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 21, 2026.
## Identity
- **NPI:** 1972433936 (Entity type: Individual)
- **Enumerated:** May 21, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP036263 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BAILEY DR STE 101, Stewartstown, PA 17363-8297
- **Phone:** (717) 993-2543
## 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:** Pinnacle Health Regional Physicians (NPI 1982133369, Stewartstown, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2026
## Record status
- **NPPES last updated:** June 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972433936) · Data from the CMS NPPES public registry.