MS. MICHELLE LYNNE JORDAN (PA-C) – Medical Physician Assistant, NPI 1649440520
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. MICHELLE LYNNE JORDAN (PA-C)
11528 US HIGHWAY 19
PORT RICHEY, FL 346681442
Phone: (727) 868-2151
Fax: (813) 994-4835
Type: Mailing
4919 MEMORIAL HWY STE 150
TAMPA, FL 336347516
Phone: (813) 333-1528
Fax: (813) 255-2818
Type: Mailing
11601 SHELDON RD
TAMPA, FL 336264306
Phone: (813) 324-6630
Fax: (813) 926-1500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $3,623.
Total Amount is formed as General ($3,623) + Research ($0) + Ownership ($0) = $3,623.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,013).
Total Amount
$3,623
General + Research + Ownership
Payments
136
Total payment records
General Amount
$3,623
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,013 |
| Kerecis Limited | $686 |
| Arcutis Biotherapeutics, Inc. | $494 |
| Dermavant Sciences, Inc. | $226 |
| Incyte Corporation | $184 |
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: 2008-04-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080410000738 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 484 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 97 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 113 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 74 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 73 | 65 | $0 |
Insurance plans in this area (ZIP 34668)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 17003 | Destruction of 2-14 skin growths | 440 | 77 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL |
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