STACY ANN JORDAN (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1700266608

STACY ANN JORDAN (D.O.) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. 5101021920 (MI). The NPI Number for STACY ANN JORDAN (D.O.) is 1700266608

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
STACY ANN JORDAN (D.O.)
NPI
1700266608
Phone
(813) 228-7696
Address
2914 N BOULEVARD
Enumeration Date
5 June 2015
Last Update Date
22 April 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8504943212
Graduation Year
2015 (11 years ago)
PAC ID
1456680115
Group Practice PAC ID
7113357476
Professional Enrollment ID
I20190906000586
Address ID
FL325140321PE8383XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

Provider Addresses for STACY ANN JORDAN (D.O.)

  • 2914 N BOULEVARD

    TAMPA, FL 336021208

    Phone: (813) 228-7696

    Fax: (813) 228-0677

    Type: Mailing

  • 3152 LITTLE RD # 162

    TRINITY, FL 346551864

    Phone: (847) 289-5727

    Fax: (847) 888-5469

    Type: Mailing

  • 2025 INDIAN ROCKS RD S

    LARGO, FL 337741035

    Phone: (847) 289-9572

    Fax: (847) 888-5469

    Type: Location

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: 2019-09-06

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
I20190906000586IPhysical Medicine And RehabilitationFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes545184$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes190131$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8780$0
99239Hospital discharge day management, more than 30 minutes8178$0
View full utilization report →

Insurance plans in this area (ZIP 33602)

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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: 7113357476View full group profile
NameSpecialtyState
-FL
Physical Medicine And RehabilitationFL
Nurse PractitionerFL
Nurse PractitionerFL
Physical Medicine And RehabilitationFL
Nurse PractitionerMI
Physical Medicine And RehabilitationAL
Physical Medicine And RehabilitationFL
Infectious Disease, Internal MedicineAZ
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows STACY ANN JORDAN (D.O.) across health systems?
The NPI 1700266608 uniquely identifies STACY ANN JORDAN (D.O.) in U.S. healthcare data.
Should I treat STACY ANN JORDAN (D.O.) as an active provider?
Patients and plans typically see STACY ANN JORDAN (D.O.) as active in the national extract.
What does the directory say STACY ANN JORDAN (D.O.) does?
Insurance directories may phrase it differently, but here STACY ANN JORDAN (D.O.) maps to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to STACY ANN JORDAN (D.O.)?
STACY ANN JORDAN (D.O.) shows a connection to Tampa, Florida in registry-derived data.
Why is information missing for STACY ANN JORDAN (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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