DR. JORDAN FARR (D.O.) – Emergency Medicine Physician, NPI 1376985358

DR. JORDAN FARR (D.O.) is a healthcare provider. based in Orange park, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS15015 (FL). The NPI Number for DR. JORDAN FARR (D.O.) is 1376985358

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN FARR (D.O.)
NPI
1376985358
Phone
Not provided
Address
2001 KINGSLEY AVE
Enumeration Date
19 July 2013
Last Update Date
26 October 2018

Doctor Profile

Medical School Name
OHIO MEDICAL UNIVERSITY
Secondary Phone
2107575434
Graduation Year
2013 (13 years ago)
PAC ID
3274824420
Group Practice PAC ID
3375909351
Professional Enrollment ID
I20220201000345
Address ID
TX782171236SA13434RDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. JORDAN FARR (D.O.)

  • 2001 KINGSLEY AVE

    ORANGE PARK, FL 320735156

    Phone:

    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: 2025-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180125000223IEmergency MedicineFLTBD
I20220201000345IEmergency MedicineTXTBD
I20251010000211IEmergency MedicineGATBD

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 32073)

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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: 3375909351View full group profile
NameSpecialtyState
Emergency MedicineAL
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, General PracticeTX
Emergency MedicineNM
Family Practice, Emergency MedicineTX
Emergency MedicineLA

Reviews

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Frequently asked questions

What federal number belongs to DR. JORDAN FARR (D.O.)?
The federal identifier for DR. JORDAN FARR (D.O.) is NPI 1376985358.
Is DR. JORDAN FARR (D.O.) active in the national directory?
DR. JORDAN FARR (D.O.)'s public NPI profile is in an active state.
What field does DR. JORDAN FARR (D.O.) work in?
You can think of DR. JORDAN FARR (D.O.) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JORDAN FARR (D.O.)'s primary listing?
We display Orange Park, Florida because that is what the record indicates for DR. JORDAN FARR (D.O.).
Is DR. JORDAN FARR (D.O.) a real provider?
This page reflects official NPPES data for NPI 1376985358. Always confirm identity and privileges with the practice and licensing boards.

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