DR. NINA T JORDANIA (MD) – Psychiatry Physician, NPI 1164428074

DR. NINA T JORDANIA (MD) is a healthcare provider. based in Bonita springs, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 036107234 (IL). The NPI Number for DR. NINA T JORDANIA (MD) is 1164428074

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. NINA T JORDANIA (MD)
NPI
1164428074
Phone
(630) 740-8375
Address
25111 PENNYROYAL DR
Enumeration Date
24 June 2005
Last Update Date
20 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552703625
Graduation Year
1984 (42 years ago)
PAC ID
8224003108
Group Practice PAC ID
2860825924
Professional Enrollment ID
I20201221000094
Address ID
WI542351401ST323XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for DR. NINA T JORDANIA (MD)

  • 25111, Pennyroyal Drive, Bonita Springs, Pelican Landing, Lee County, Florida, 34134, United States

    STE 1

    BONITA SPRINGS, FL 341347944

    Phone: (630) 740-8375

    Fax: (630) 740-8375

    Type: Mailing

  • 6801 PORTO FINO CIR

    STE 1

    FORT MYERS, FL 339124344

    Phone: (239) 225-0874

    Fax: (239) 225-1465

    Type: Location

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 $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($134).

Total Amount

$507

General + Research + Ownership

Payments

4

Total payment records

General Amount

$507

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2025-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20161202000278IPsychiatryFLTBD
I20200331003402IPsychiatryIATBD
I20201221000094IPsychiatryWITBD
I20220719000307IPsychiatryNETBD
I20251020000569IPsychiatryNDTBD

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 minutes924166$0
90792Psychiatric diagnostic evaluation with medical services104101$0
View full utilization report →

Insurance plans in this area (ZIP 34134)

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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: 2860825924View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNY
P S Y C H I A T R YTN
Mental Health CounselorNM
-MN
Nurse PractitionerNE
P S Y C H I A T R YPA
P S Y C H I A T R YTN
Mental Health CounselorIA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Does DR. NINA T JORDANIA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. NINA T JORDANIA (MD) uses 1164428074.
Can I rely on DR. NINA T JORDANIA (MD) being an active provider?
As of the registry snapshot, DR. NINA T JORDANIA (MD) is marked active.
What is DR. NINA T JORDANIA (MD)'s primary classification?
Psychiatry Physician is the headline specialty for DR. NINA T JORDANIA (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. NINA T JORDANIA (MD) serve?
DR. NINA T JORDANIA (MD)'s listing highlights Bonita Springs, Florida; more addresses can appear in NPPES.
Is the information about DR. NINA T JORDANIA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."