MARANDA JORDAN (DO) – Student in an Organized Health Care Education/Training Program, NPI 1275228504

MARANDA JORDAN (DO) is a healthcare provider. based in Akron, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. The NPI Number for MARANDA JORDAN (DO) is 1275228504

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MARANDA JORDAN (DO)
NPI
1275228504
Phone
Not provided
Address
525 E MARKET ST
Enumeration Date
11 April 2023
Last Update Date
11 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306741015
Graduation Year
2023 (3 years ago)
PAC ID
6709398670
Group Practice PAC ID
5496856270
Professional Enrollment ID
I20250625002907
Address ID
OH446541536MI981XXRDXX300
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

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for MARANDA JORDAN (DO)

  • 525 E MARKET ST

    AKRON, OH 443041619

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-25

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
I20250625002907IEmergency MedicineOHTBD

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 44304)

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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: 5496856270View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
-NC
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineAZ
Emergency MedicineOH

Reviews

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Frequently asked questions

Is MARANDA JORDAN (DO) listed with a National Provider Identifier?
Yes — MARANDA JORDAN (DO) has NPI 1275228504 on file in the registry.
Is MARANDA JORDAN (DO) shown as active in public data?
Registry records indicate MARANDA JORDAN (DO) maintains an active NPI.
How would a patient describe MARANDA JORDAN (DO)'s focus?
For MARANDA JORDAN (DO), the primary taxonomy reads as Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where in Ohio is MARANDA JORDAN (DO) registered?
Use Akron, Ohio as the headline location for MARANDA JORDAN (DO) here.
Can I trust this NPI listing for MARANDA JORDAN (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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