MS. MARION JOANNA JORDAN (P.A.) – Physician Assistant, NPI 1730188608

MS. MARION JOANNA JORDAN (P.A.) is a healthcare provider. based in Santa cruz, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 13409 (CA). The NPI Number for MS. MARION JOANNA JORDAN (P.A.) is 1730188608

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARION JOANNA JORDAN (P.A.)
NPI
1730188608
Phone
(831) 454-5401
Address
1080 EMELINE AVE
Enumeration Date
21 July 2005
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8314544100
Graduation Year
1994 (32 years ago)
PAC ID
8123024601
Group Practice PAC ID
7618872912
Professional Enrollment ID
I20061005000299
Address ID
CA950601966SA1080XAVEX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MS. MARION JOANNA JORDAN (P.A.)

  • Building D, 1080, Emeline Avenue, Eastside, Santa Cruz, Santa Cruz County, California, 1982, United States

    SANTA CRUZ, CA 950601966

    Phone: (831) 454-5401

    Fax: (831) 454-4488

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-10-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061005000299IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level5227$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1817$0
View full utilization report →

Insurance plans in this area (ZIP 95060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618872912View full group profile

Reviews

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Frequently asked questions

Can I verify MS. MARION JOANNA JORDAN (P.A.) with an NPI only?
You can start verification with NPI 1730188608 for MS. MARION JOANNA JORDAN (P.A.), then check state licensing separately.
Is MS. MARION JOANNA JORDAN (P.A.) listed as active for patients and plans?
The listing shows MS. MARION JOANNA JORDAN (P.A.) as active in the NPI system.
What is MS. MARION JOANNA JORDAN (P.A.) best known for clinically?
Directory data describes MS. MARION JOANNA JORDAN (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MS. MARION JOANNA JORDAN (P.A.) serve?
MS. MARION JOANNA JORDAN (P.A.)'s listing highlights Santa Cruz, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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