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

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



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

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Entity NameCapital Region Geriatric Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306885066
PECOS PAC ID: 8123091493
Enrollment ID: O20040928000884

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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

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Entity NameHeritage House Nursing Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356395909
PECOS PAC ID: 1254304520
Enrollment ID: O20110608000062

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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

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Entity NameThe James A Eddy Memorial Geriatric Center, Inc
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Entity IdentifiersNPI Number: 1609820265
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Enrollment ID: O20150115001702

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Entity NameSeton Health At Schuyler Ridge Residential Healthcare
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Entity IdentifiersNPI Number: 1114095171
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Entity NameKingston Nh Operation Llc
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PECOS PAC ID: 6204170533
Enrollment ID: O20181127002835

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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

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› Verified 3 days ago


Nurse Practitioner Nurses in Troy, NY

Kelly Lynne Hearne, MS, RN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2215 Burdett Ave, Troy, NY 12180
Phone: 518-271-3554    
Shauna Marie Paris, PNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 258 Hoosick St Ste 100, Troy, NY 12180
Phone: 518-272-0232    Fax: 518-272-4083
Amy J Nistico, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2215 Burdett Ave, Troy, NY 12180
Phone: 188-336-4705    Fax: 518-271-3682
Carl Mark Cacciotti, AGNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 81 Sweetmilk Creek Rd, Troy, NY 12180
Phone: 518-330-3396    
Mrs. Leshaun Angmor, F.N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 315 2nd Ave, Suite 2, Troy, NY 12182
Phone: 518-235-8034    
Ericka Mae Matzen, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Massachusetts Ave, Troy, NY 12180
Phone: 518-268-6265    
Rita A Alowitz,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 New Hampshire Ave, Troy, NY 12180
Phone: 518-272-0331    Fax: 518-270-6280

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