JORDAN SCOTT VALLIERES – Family Nurse Practitioner, NPI 1144708058

JORDAN SCOTT VALLIERES is a healthcare provider. based in Lake mary, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 223337 (AR). The NPI Number for JORDAN SCOTT VALLIERES is 1144708058

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN SCOTT VALLIERES
NPI
1144708058
Phone
(407) 320-8100
Address
755 RINEHART RD STE 100
Enumeration Date
2 August 2018
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4795243141
Graduation Year
2018 (8 years ago)
PAC ID
3577807049
Group Practice PAC ID
0042262495
Professional Enrollment ID
I20230731003610
Address ID
AR727613018SI451XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for JORDAN SCOTT VALLIERES

  • Rinehart Road, Lake Mary, Seminole County, Florida, 32746-5007, United States

    LAKE MARY, FL 327464885

    Phone: (407) 320-8100

    Type: Mailing

  • 614 E EMMA AVE STE 300

    SPRINGDALE, AR 727644469

    Phone: (479) 751-7417

    Type: Mailing

  • 451 S HOLLY ST

    SILOAM SPRINGS, AR 727613018

    Phone: (479) 524-3141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,194.

Total Amount is formed as General ($1,194) + Research ($0) + Ownership ($0) = $1,194.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Amgen Inc. ($267).

Total Amount

$1,194

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2023-07-31

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
I20230731003610INurse PractitionerARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4539$0
99213Established patient office or other outpatient visit, 20-29 minutes3229$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
G0442Annual alcohol misuse screening, 5 to 15 minutes2323$0
G0444Annual depression screening, 5 to 15 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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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: 0042262495View full group profile

Reviews

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Frequently asked questions

How is JORDAN SCOTT VALLIERES identified in CMS data?
CMS-hosted NPPES data lists JORDAN SCOTT VALLIERES with NPI 1144708058.
Does CMS list JORDAN SCOTT VALLIERES as active?
Yes — JORDAN SCOTT VALLIERES is active in the NPI listing used on this page.
What taxonomy line describes JORDAN SCOTT VALLIERES?
For research purposes, treat JORDAN SCOTT VALLIERES as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is JORDAN SCOTT VALLIERES based?
JORDAN SCOTT VALLIERES is tied to Lake Mary, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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