CHANDA RENEE JORDAN (PA-C) – Physician Assistant, NPI 1871856062
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for CHANDA RENEE JORDAN (PA-C)
2401 W University Ave
Muncie, IN 473033428
Phone: (765) 747-3728
Type: Location
1402 E County Line Rd
Indianapolis, IN 462270963
Phone: (317) 887-7000
Type: Location
1000 N 16TH ST
NEW CASTLE, IN 473624319
Phone: (765) 521-1496
Type: Location
10330 N MERIDIAN ST
SUITE 201
INDIANAPOLIS, IN 462901024
Phone:
Type: Mailing
2814 N GRANVILLE AVE
MUNCIE, IN 473032119
Phone: (765) 570-5014
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $121 |
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: 2014-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120906000893 | I | Physician Assistant | MI | TBD |
| I20140802000028 | I | Physician Assistant | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nephrology, Internal Medicine | IN | |
| General Surgery | MI | |
| - | OH | |
| Family Practice | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | NC | |
| Infectious Disease, Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| Clinical Social Worker | IN | |
| - | IN |
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