DR. JORDAN MILLS D.O.
NPI 1992067060
Family Medicine in Madison, WI
About Dr. Jordan Mills D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN MILLS D.O. (NPI 1992067060) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (64173-21) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Kansas City College Of Medicine And Surgery (2012).
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 and accepts Medicare assignment
Dr. Jordan Mills D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Mills reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1982863783 (California)
- 5,228 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 53705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mills's NPI number?
The NPI number for Jordan Mills is 1992067060. It was assigned to this individual provider in the NPPES registry on June 13, 2012.
Where is Jordan Mills located?
Jordan Mills practices at 2902 Harvey St, Madison, WI 53705. The listed phone number is (714) 869-4555.
What is Jordan Mills's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jordan Mills enrolled in Medicare?
Yes. Jordan Mills is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jordan Mills's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Mills reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Mills'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 Mills was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jordan Mills, D.O. · NPI 1992067060
Family Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since June 13, 2012.
## Identity
- **NPI:** 1992067060 (Entity type: Individual)
- **Enumerated:** June 13, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 64173-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2902 HARVEY ST, Madison, WI 53705-3504
- **Phone:** (714) 869-4555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City College Of Medicine And Surgery, class of 2012
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1992067060) · Data from the CMS NPPES public registry.