JORDANA REYES – Medical Physician Assistant, NPI 1912611856

JORDANA REYES is a healthcare provider. based in Davie, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9119538 (FL). The NPI Number for JORDANA REYES is 1912611856

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JORDANA REYES
NPI
1912611856
Phone
(954) 262-1250
Address
3200 S UNIVERSITY DR
Enumeration Date
5 January 2023
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394315884
Graduation Year
2024 (2 years ago)
PAC ID
8426587304
Group Practice PAC ID
5890043491
Professional Enrollment ID
I20250122000658
Address ID
FL341090596NA1875XDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JORDANA REYES

  • 3200 S UNIVERSITY DR

    DAVIE, FL 333282018

    Phone: (954) 262-1250

    Type: Mailing

  • 1875 VETERANS PARK DR STE 2203

    NAPLES, FL 341090596

    Phone: (239) 431-5884

    Fax: (239) 631-6907

    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: 2025-01-22

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
I20250122000658IPhysician 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 33328)

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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: 5890043491View full group profile
NameSpecialtyState
Vascular SurgeryFL
Interventional RadiologyFL
Vascular SurgeryFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is JORDANA REYES's NPI number?
JORDANA REYES's NPI is 1912611856 — the number used across U.S. healthcare to identify this provider.
Is JORDANA REYES still an active registrant?
JORDANA REYES carries an active NPI according to the public dataset.
What kind of doctor is JORDANA REYES?
JORDANA REYES is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JORDANA REYES associated with Davie?
Public fields place JORDANA REYES around Davie, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JORDANA REYES is noted as January 5, 2023 where the registry provides it.

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