MS. JORDAN NICOLE FELTIS – Physician Assistant, NPI 1154199479

MS. JORDAN NICOLE FELTIS is a healthcare provider. based in Weston, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. 9118265 (FL). The NPI Number for MS. JORDAN NICOLE FELTIS is 1154199479

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MS. JORDAN NICOLE FELTIS
NPI
1154199479
Phone
(954) 873-3650
Address
1350 GINGER CIR
Enumeration Date
15 December 2023
Last Update Date
26 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5619687546
Graduation Year
2023 (3 years ago)
PAC ID
3476998428
Group Practice PAC ID
8921411737
Professional Enrollment ID
I20240229000807
Address ID
FL334676511LA5808XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MS. JORDAN NICOLE FELTIS

  • 1350 GINGER CIR

    WESTON, FL 333263628

    Phone: (954) 873-3650

    Type: Mailing

  • 5808 S JOG RD

    LAKE WORTH, FL 334676511

    Phone: (561) 968-7546

    Type: Location

  • 715 W Boynton Beach Blvd Ste C

    Boynton Beach, FL 334263625

    Phone: (561) 968-7546

    Fax: (561) 968-1143

    Type: Location

  • 1100 S Federal Hwy Ste 100

    Deerfield Beach, FL 334417000

    Phone: (954) 943-9670

    Fax: (954) 943-9671

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,306.

Total Amount is formed as General ($1,306) + Research ($0) + Ownership ($0) = $1,306.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($297).

Total Amount

$1,306

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,306

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-02-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240229000807IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33326)

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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: 8921411737View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do I look up MS. JORDAN NICOLE FELTIS by NPI?
Use NPI 1154199479 when you need to reference MS. JORDAN NICOLE FELTIS in forms, claims, or directories.
Is MS. JORDAN NICOLE FELTIS active in the national directory?
MS. JORDAN NICOLE FELTIS's public NPI profile is in an active state.
What field does MS. JORDAN NICOLE FELTIS work in?
You can think of MS. JORDAN NICOLE FELTIS as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MS. JORDAN NICOLE FELTIS?
The snapshot lists Weston, Florida for MS. JORDAN NICOLE FELTIS; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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