JORDAN WILLIAM DANIELS (PA-C) – Physician Assistant, NPI 1093441891

JORDAN WILLIAM DANIELS (PA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for JORDAN WILLIAM DANIELS (PA-C) is 1093441891

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN WILLIAM DANIELS (PA-C)
NPI
1093441891
Phone
Not provided
Address
10697 W CENTENNIAL PKWY APT 2130
Enumeration Date
26 July 2022
Last Update Date
26 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023463875
Graduation Year
2020 (6 years ago)
PAC ID
8123495546
Group Practice PAC ID
8325142334
Professional Enrollment ID
I20221027002055
Address ID
NV890278851ME340XXPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for JORDAN WILLIAM DANIELS (PA-C)

  • 10697 W CENTENNIAL PKWY APT 2130

    LAS VEGAS, NV 891661513

    Phone:

    Type: Mailing

  • 2960 SAINT ROSE PKWY STE 120

    HENDERSON, NV 890525033

    Phone: (702) 558-5100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 276 Open Payments records for all available years, with a total value of $4,998.

Total Amount is formed as General ($4,998) + Research ($0) + Ownership ($0) = $4,998.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($855).

Total Amount

$4,998

General + Research + Ownership

Payments

276

Total payment records

General Amount

$4,998

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-10-27

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
I20221027002055IPhysician AssistantNVTBD

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
17003Destruction of precancer skin growth, 2-14 growths603126$0
99213Established patient office or other outpatient visit, 20-29 minutes385259$0
17000Destruction of precancer skin growth, 1 growth208169$0
17110Destruction of skin growth, 1-14 growths185151$0
11102Biopsy of related skin growth, first growth161142$0
View full utilization report →

Insurance plans in this area (ZIP 89166)

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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: 8325142334View full group profile
NameSpecialtyState
Physician AssistantVA
Physician AssistantNV
Physician AssistantNV
Physician AssistantNV
Physician AssistantCA
Physician AssistantNV
Physician AssistantNV
Micrographic Dermatologic Surgery (Mds), Dermatology, DermatologyCA
Physician AssistantNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What unique ID ties claims to JORDAN WILLIAM DANIELS (PA-C)?
NPI 1093441891 is assigned to JORDAN WILLIAM DANIELS (PA-C) under the national enumeration system.
Does this profile mean JORDAN WILLIAM DANIELS (PA-C) is currently active?
Yes — JORDAN WILLIAM DANIELS (PA-C) appears active in the national provider directory.
What kind of provider is JORDAN WILLIAM DANIELS (PA-C)?
The page reflects Physician Assistant for JORDAN WILLIAM DANIELS (PA-C). Clinical services aligned with this taxonomy classification.
Does JORDAN WILLIAM DANIELS (PA-C) practice in Nevada?
You will see Las Vegas, Nevada on file for JORDAN WILLIAM DANIELS (PA-C) alongside any extra practice locations.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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