JORDAN WITTIG – Physician Assistant, NPI 1174210199

JORDAN WITTIG is a healthcare provider. based in Aurora, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.008435RX (OH). The NPI Number for JORDAN WITTIG is 1174210199

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN WITTIG
NPI
1174210199
Phone
(330) 998-5950
Address
350 BLAIR CIR
Enumeration Date
19 April 2023
Last Update Date
30 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168443800
Graduation Year
2023 (3 years ago)
PAC ID
2264887413
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20231009002601
Address ID
OH440944625WI36000AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,062 PHYSICIAN ASSISTANT in OH

Provider Addresses for JORDAN WITTIG

  • 350 BLAIR CIR

    AURORA, OH 442027663

    Phone: (330) 998-5950

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medimetriks Pharmaceuticals, Inc. ($118).

Total Amount

$118

General + Research + Ownership

Payments

3

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2023-10-09

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
I20231009002601IPhysician AssistantOHTBD

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 44202)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Internal MedicineLA
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH

Reviews

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Frequently asked questions

What is the registry number for JORDAN WITTIG?
The registry entry for JORDAN WITTIG shows NPI 1174210199.
Should I treat JORDAN WITTIG as an active provider?
Patients and plans typically see JORDAN WITTIG as active in the national extract.
What services align with JORDAN WITTIG's listing?
JORDAN WITTIG's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JORDAN WITTIG?
JORDAN WITTIG is associated with Aurora, Ohio in the same public data insurers reference.
Who maintains JORDAN WITTIG's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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