REBECCA JOURDAN (O.D.) – Optometrist, NPI 1710331160

REBECCA JOURDAN (O.D.) is a healthcare provider. based in Brainerd, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 60764823 (WA). The NPI Number for REBECCA JOURDAN (O.D.) is 1710331160

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA JOURDAN (O.D.)
NPI
1710331160
Phone
(218) 831-5441
Address
323 TANAGER CIR
Enumeration Date
21 April 2016
Last Update Date
28 January 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5099251000
Graduation Year
2017 (9 years ago)
PAC ID
0345512562
Group Practice PAC ID
8729187893
Professional Enrollment ID
I20170823002842
Address ID
WA989268228EL2201XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for REBECCA JOURDAN (O.D.)

  • 323, Tanager Circle, Brainerd, Crow Wing County, Minnesota, 56401, United States

    BRAINERD, MN 564015546

    Phone: (218) 831-5441

    Type: Mailing

  • 380 SE Barrington Dr

    Oak Harbor, WA 982773266

    Phone: (360) 675-2235

    Type: Location

  • 380, Southeast Barrington Drive, Oak Harbor, Island County, Washington, 98277, United States

    OAK HARBOR, WA 982773266

    Phone: (360) 675-2235

    Type: Location

  • 4605 S COOPER ST

    ARLINGTON, TX 760175827

    Phone: (218) 831-5441

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($106).

Total Amount

$420

General + Research + Ownership

Payments

20

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2021-03-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170823002842IOptometryWATBD
I20210305000587IOptometryTXTBD

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
92004New patient complete exam of visual system2727$0
92014Established patient complete exam of visual system2424$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 56401)

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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: 8729187893View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
O P T O M E T R YWA
-WA
O P T O M E T R YWA
O P T O M E T R YNE
O P T O M E T R YWA

Reviews

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Frequently asked questions

Is there an official ID for REBECCA JOURDAN (O.D.) in U.S. healthcare records?
The official identifier for REBECCA JOURDAN (O.D.) is NPI 1710331160.
Is there an active status for REBECCA JOURDAN (O.D.)?
For scheduling context, REBECCA JOURDAN (O.D.) is shown as active in the registry.
What area of care is associated with REBECCA JOURDAN (O.D.)?
REBECCA JOURDAN (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with REBECCA JOURDAN (O.D.)?
Directory geography for REBECCA JOURDAN (O.D.) centers on Brainerd, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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