TERESA LYNN JORDAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235865775

TERESA LYNN JORDAN (PMHNP-BC) is a healthcare provider. based in Bucyrus, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. APRN.CNP.0031923 (OH). The NPI Number for TERESA LYNN JORDAN (PMHNP-BC) is 1235865775

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TERESA LYNN JORDAN (PMHNP-BC)
NPI
1235865775
Phone
(419) 562-2000
Address
2458 STETZER RD
Enumeration Date
27 July 2022
Last Update Date
31 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403808129
Graduation Year
2022 (4 years ago)
PAC ID
6709256266
Group Practice PAC ID
0345238622
Professional Enrollment ID
I20221228001800
Address ID
OH431388541LO601XXNXXX500
Telehealth
Yes
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

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TERESA LYNN JORDAN (PMHNP-BC)

  • 2458 STETZER RD

    BUCYRUS, OH 448202066

    Phone: (419) 562-2000

    Type: Mailing

  • 601 STATE ROUTE 664 N

    LOGAN, OH 431388541

    Phone: (740) 380-8410

    Fax: (740) 380-3314

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $1,464.

Total Amount is formed as General ($1,464) + Research ($0) + Ownership ($0) = $1,464.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($377).

Total Amount

$1,464

General + Research + Ownership

Payments

101

Total payment records

General Amount

$1,464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-12-28

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
I20221228001800INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9533$0
99213Established patient office or other outpatient visit, 20-29 minutes6632$0
99215Established patient office or other outpatient visit, 40-54 minutes5927$0
99212Established patient office or other outpatient visit, 10-19 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 44820)

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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: 0345238622View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Clinical Social WorkerOH
Orthopedic SurgeryOH
Family Practice, Emergency Medicine, General PracticeOH
General SurgeryOH
U R O L O G YOH
Mental Health CounselorOH
-OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to TERESA LYNN JORDAN (PMHNP-BC)?
NPI 1235865775 is assigned to TERESA LYNN JORDAN (PMHNP-BC) under the national enumeration system.
Does this profile mean TERESA LYNN JORDAN (PMHNP-BC) is currently active?
Yes — TERESA LYNN JORDAN (PMHNP-BC) appears active in the national provider directory.
Does TERESA LYNN JORDAN (PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for TERESA LYNN JORDAN (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Where is TERESA LYNN JORDAN (PMHNP-BC)'s primary listing?
We display Bucyrus, Ohio because that is what the record indicates for TERESA LYNN JORDAN (PMHNP-BC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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