Crystal Nichole Jordan, APRN, FNP-BC in Tampa, FL

Crystal Nichole Jordan, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner" in Tampa, Florida. Her current practice location is 5662 Tranquility Oaks Dr Unit 204, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 686-1402.

Crystal Nichole Jordan is licensed to practice in Florida (license number APRN11005773) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902437023.

Contact Information

	Crystal Nichole Jordan, APRN, FNP-BC
	5662 Tranquility Oaks Dr Unit 204, Tampa, FL 33624-5846
	(727) 686-1402
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Nichole Jordan
Gender	Female
Speciality	Nurse Practitioner
Location	5662 Tranquility Oaks Dr Unit 204, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902437023
Provider Enumeration Date: 01/28/2020
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 5092131797
Enrollment ID: I20200812001010

Medical Identifiers

Medical identifiers for Crystal Nichole Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902437023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11005773 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN11005773 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Nichole Jordan allows following entities to bill medicare on her behalf.

Entity Name	Gulf-to-bay Anesthesiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250

Entity Name	Florida Anesthesia Medical Services 1, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467949776 PECOS PAC ID: 7416208434 Enrollment ID: O20181001001776

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Nichole Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Crystal Nichole Jordan, APRN, FNP-BC 5662 Tranquility Oaks Dr Unit 204, Tampa, FL 33624-5846 Ph: (727) 686-1402	Crystal Nichole Jordan, APRN, FNP-BC 5662 Tranquility Oaks Dr Unit 204, Tampa, FL 33624-5846 Ph: (727) 686-1402

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Crystal Nichole Jordan, APRN, FNP-BC - Medicare Nurse Practitioner in Tampa, FL