Jacqueline Nicole Jordan, FNP-BC - Medicare Nurse Practitioner in Troy, NY

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Jacqueline Nicole Jordan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Troy, New York. Her current practice location is 433 River St Ste 3000, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 279-5700.

Jacqueline Nicole Jordan is licensed to practice in New York (license number 339127) 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 1114292331.

Contact Information

Jacqueline Nicole Jordan, FNP-BC
433 River St Ste 3000,
Troy, NY 12180-2250
(518) 279-5700
(518) 270-1323

Map and Direction




Provider's Profile

Full NameJacqueline Nicole Jordan
GenderFemale
SpecialityNurse Practitioner - Family
Location433 River St Ste 3000, Troy, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114292331
  • Provider Enumeration Date: 03/21/2012
  • Last Update Date: 11/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385939271
  • Enrollment ID: I20160816002534

Medical Identifiers

Medical identifiers for Jacqueline Nicole Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114292331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 339127 (New York)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. Jacqueline Nicole Jordan allows following entities to bill medicare on her behalf.
Entity NameVilla Mary Immaculate
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144215625
PECOS PAC ID: 0941279004
Enrollment ID: O20040927000623
Entity NameCapital Region Geriatric Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306885066
PECOS PAC ID: 8123091493
Enrollment ID: O20040928000884
Entity NameOur Lady Of Mercy Life Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972598290
PECOS PAC ID: 7113943846
Enrollment ID: O20051021000149
Entity NameHeritage House Nursing Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356395909
PECOS PAC ID: 1254304520
Enrollment ID: O20110608000062
Entity NameSt. Peter's Health Partners Medical Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750626834
PECOS PAC ID: 6103061189
Enrollment ID: O20130321000567
Entity NameThe James A Eddy Memorial Geriatric Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609820265
PECOS PAC ID: 6002889466
Enrollment ID: O20150115001702
Entity NameBeverwyck, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619282704
PECOS PAC ID: 2264629294
Enrollment ID: O20150116000331
Entity NameSeton Health At Schuyler Ridge Residential Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114095171
PECOS PAC ID: 5991861973
Enrollment ID: O20161118002050
Entity NameKingston Nh Operation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598249179
PECOS PAC ID: 6204170533
Enrollment ID: O20181127002835

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. Jacqueline Nicole 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 AddressPractice Location Address
Jacqueline Nicole Jordan, FNP-BC
Po Box 14890,
Albany, NY 12212-4890

Ph: (518) 525-5634		Jacqueline Nicole Jordan, FNP-BC
433 River St Ste 3000,
Troy, NY 12180-2250

Ph: (518) 279-5700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.