JENNIFER LYNN JORDAN (AGNP) – Adult Health Nurse Practitioner, NPI 1154055861

JENNIFER LYNN JORDAN (AGNP) is a healthcare provider. based in Dayton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. APRN.CNP.0028067 (OH). The NPI Number for JENNIFER LYNN JORDAN (AGNP) is 1154055861

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN JORDAN (AGNP)
NPI
1154055861
Phone
(937) 281-6800
Address
721 Miami Chapel Rd
Enumeration Date
11 July 2022
Last Update Date
14 March 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9379960023
Graduation Year
2010 (16 years ago)
PAC ID
1658740485
Group Practice PAC ID
5698762235
Professional Enrollment ID
I20221216001928
Address ID
OH453469715NE101XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:3State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JENNIFER LYNN JORDAN (AGNP)

  • 721 Miami Chapel Rd

    Dayton, OH 454174650

    Phone: (937) 281-6800

    Fax: (937) 965-4595

    Type: Location

  • 735 BELAUTO CT APT C

    BEAVERCREEK, OH 454301775

    Phone: (937) 260-0532

    Type: Mailing

  • 5735 MEEKER RD

    GREENVILLE, OH 453311186

    Phone: (937) 548-9680

    Type: Mailing

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

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: 2022-12-16

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
I20221216001928INurse PractitionerOHTBD

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 45417)

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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: 5698762235View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER LYNN JORDAN (AGNP) in U.S. healthcare records?
The official identifier for JENNIFER LYNN JORDAN (AGNP) is NPI 1154055861.
Is JENNIFER LYNN JORDAN (AGNP) shown as active in public data?
Registry records indicate JENNIFER LYNN JORDAN (AGNP) maintains an active NPI.
What kind of doctor is JENNIFER LYNN JORDAN (AGNP)?
JENNIFER LYNN JORDAN (AGNP) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER LYNN JORDAN (AGNP) associated with Dayton?
Public fields place JENNIFER LYNN JORDAN (AGNP) around Dayton, Ohio. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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