MRS. KAREN RENAE JORDAN (PA) – Surgical Physician Assistant, NPI 1558396093
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. KAREN RENAE JORDAN (PA)
1855, Spring Hill Avenue, Park Place, Mobile, Mobile County, Alabama, 36607, United States
MOBILE, AL 366072301
Phone: (251) 471-3544
Fax: (251) 476-7254
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Kerecis Limited ($43).
Total Amount
$73
General + Research + Ownership
Payments
4
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $43 |
| HemoSonics LLC | $16 |
| Bard Peripheral Vascular, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051129000860 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 41 | 41 | $0 |
| 33508 | Harvest of vein using an endoscope | 40 | 40 | $0 |
| 33517 | Coronary artery bypass using vein or artery graft, 1 graft | 15 | 15 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 15 | 15 | $0 |
| 33268 | Exclusion of appendage of left upper chamber of heart performed during other procedure on chest | 14 | 14 | $0 |
Insurance plans in this area (ZIP 36607)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AL | 33518 | Combined multiple vein and artery heart artery bypasses | 22 | 22 |
| PHYSICIAN ASSISTANT | AL | 33533 | Heart artery bypass to repair one artery | 55 | 55 |
| PHYSICIAN ASSISTANT | AL | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | MD | |
| Cardiac Surgery, Thoracic Surgery | AL | |
| Vascular Surgery | AL | |
| Vascular Surgery | OK | |
| Nurse Practitioner | AL | |
| Thoracic Surgery | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| Physician Assistant | AL | |
| Cardiac Surgery, Thoracic Surgery | AL |
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