CHELSEA RAE JORDAN – Women's Health Nurse Practitioner, NPI 1174083141

CHELSEA RAE JORDAN is a healthcare provider. based in Cape elizabeth, Maine. specializing in NURSE PRACTITIONER. They hold a License No. RN65173 (ME). The NPI Number for CHELSEA RAE JORDAN is 1174083141

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA RAE JORDAN
NPI
1174083141
Phone
(207) 450-3932
Address
2 HOCKEY POND LN
Enumeration Date
25 March 2019
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075233900
Graduation Year
2019 (7 years ago)
PAC ID
4385058031
Group Practice PAC ID
5092605261
Professional Enrollment ID
I20210121000209
Address ID
ME041062327SO100XXWXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,881 NURSE PRACTITIONER in ME

Provider Addresses for CHELSEA RAE JORDAN

  • 2 HOCKEY POND LN

    CAPE ELIZABETH, ME 041075125

    Phone: (207) 450-3932

    Type: Mailing

  • 100 GANNETT DR STE C

    SOUTH PORTLAND, ME 041065900

    Phone: (207) 347-2947

    Fax: (207) 874-2317

    Type: Mailing

  • 84 MARGINAL WAY STE 900

    PORTLAND, ME 041012476

    Phone: (207) 874-2445

    Fax: (207) 523-8598

    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 $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Organogenesis Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$26
View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-21

PECOS data refreshed: 2026-06-15

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
I20210121000209INurse PractitionerMETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 04107)

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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: 5092605261View full group profile
NameSpecialtyState
-ME
O B S T E T R I C S/ G Y N E C O L O G YCO
Internal MedicineRI
Nurse PractitionerME
Nurse PractitionerME
Sports MedicineME
Nurse PractitionerME
Family PracticeRI
-ME
-ME

Reviews

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Frequently asked questions

Can I use this page to confirm CHELSEA RAE JORDAN's NPI?
Yes. CHELSEA RAE JORDAN is listed with NPI 1174083141 in the public NPI dataset.
Does the file indicate CHELSEA RAE JORDAN is practicing under active NPI?
Directory data currently reports CHELSEA RAE JORDAN as active.
What is CHELSEA RAE JORDAN best known for clinically?
Directory data describes CHELSEA RAE JORDAN with Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CHELSEA RAE JORDAN list a practice location?
Patients near Cape Elizabeth, Maine may find CHELSEA RAE JORDAN in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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