JORDAN ANTONIO FACEY (PA-C) – Surgical Physician Assistant, NPI 1003560194

JORDAN ANTONIO FACEY (PA-C) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9115647 (FL). The NPI Number for JORDAN ANTONIO FACEY (PA-C) is 1003560194

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN ANTONIO FACEY (PA-C)
NPI
1003560194
Phone
(239) 334-7000
Address
2531 CLEVELAND AVE STE 1
Enumeration Date
8 February 2022
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393347000
Graduation Year
2021 (5 years ago)
PAC ID
6204229149
Group Practice PAC ID
2668442799
Professional Enrollment ID
I20220217000031
Address ID
FL339124707FO14601LOOP400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JORDAN ANTONIO FACEY (PA-C)

  • 2531 CLEVELAND AVE STE 1

    FORT MYERS, FL 339014900

    Phone: (239) 334-7000

    Fax: (239) 334-7070

    Type: Mailing

  • 14601 HOPE CENTER LOOP

    FORT MYERS, FL 339124707

    Phone: (239) 334-7000

    Fax: (239) 334-7070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Coastal Medical Technologies Llc ($23).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-02-17

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
I20220217000031IPhysician AssistantFLTBD

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
73620X-ray of foot, 2 views1918$0
77002Fluoroscopic guidance for needle placement1513$0
73600X-ray of ankle, 2 views1413$0
Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass1313$0
29405Application of short leg cast1313$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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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: 2668442799View full group profile
NameSpecialtyState
Physician AssistantFL
-FL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Nurse PractitionerFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physician AssistantNV
Nurse PractitionerCT

Reviews

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Frequently asked questions

What is the registry number for JORDAN ANTONIO FACEY (PA-C)?
The registry entry for JORDAN ANTONIO FACEY (PA-C) shows NPI 1003560194.
Is JORDAN ANTONIO FACEY (PA-C)'s NPI status active today?
Active status means JORDAN ANTONIO FACEY (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret JORDAN ANTONIO FACEY (PA-C)'s specialty?
The extract shows Surgical Physician Assistant for JORDAN ANTONIO FACEY (PA-C). Clinical services aligned with this taxonomy classification.
Is JORDAN ANTONIO FACEY (PA-C) tied to Fort Myers, Florida?
If you are local to Fort Myers, Florida, JORDAN ANTONIO FACEY (PA-C) may be relevant to your search.
Who maintains JORDAN ANTONIO FACEY (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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