JEROME JORDAN SR. CNP
NPI 1992560809
Nurse Practitioner - Family in Lorain, OH

Active since February 20, 2024PECOS Enrolled
1205 BROADWAY, LORAIN, OH 44052(769) 610-2804 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerome Jordan Sr. Cnp NPPES

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

JEROME JORDAN SR. CNP (NPI 1992560809) is an individual family provider in Lorain, Ohio, licensed in Ohio (CNP.0035744) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992560809
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEROME JORDAN SR.Credential: CNP
Location Address1205 BROADWAYLorain, OH 44052-3409
Mailing Address12303 Cedar Rd Apt 135Cleveland Heights, OH 44106-3174 · (769) 610-2804
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
Last NPPES UpdateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1992560809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · CNP.0035744
1205 BROADWAY, Lorain, OH 44052

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerome Jordan Sr. Cnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jerome Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1205 BROADWAY AVE.
Lorain, OH 44052
  • Reassigned Medicare billing, Ohio enrollment
  • 88 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 44052 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1205 BROADWAY
LORAIN, OH 44052
Optometrist
1205 BROADWAY
LORAIN, OH 44052
Counselor
1205 BROADWAY
LORAIN, OH 44052
Dentist
1205 BROADWAY
LORAIN, OH 44052
Clinical Nurse Specialist (Family Health)
1205 BROADWAY
LORAIN, OH 44052
Pediatrics
1205 BROADWAY
LORAIN, OH 44052
Dentist
1205 BROADWAY
LORAIN, OH 44052
Dentist (General Practice)
1205 BROADWAY
LORAIN, OH 44052

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 Jerome Jordan's NPI number?

The NPI number for Jerome Jordan is 1992560809. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Jerome Jordan located?

Jerome Jordan practices at 1205 Broadway, Lorain, OH 44052. The listed phone number is (769) 610-2804.

What is Jerome Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jerome Jordan enrolled in Medicare?

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

Which organization bills Medicare for Jerome Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Jordan reassigns Medicare benefits to Lorain County Health & Dentistry (Lorain, OH). 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 Jerome Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerome Jordan accept?

Health plans from CareSource and Paramount list Jerome Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerome Jordan was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.