KESHIA NICHOLE JORDAN (NP) – Family Nurse Practitioner, NPI 1568706307
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KESHIA NICHOLE JORDAN (NP)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 454173424
Phone: (937) 734-8333
Type: Mailing
601 South Edwin C Moses Blvd
Dayton, OH 454173424
Phone: (937) 734-8333
Type: Location
4760 Madison Rd
Cincinnati, OH 452271426
Phone: (513) 861-0035
Type: Location
630 Eaton Ave
2 West
Hamilton, OH 450132767
Phone: (513) 867-2433
Fax: (513) 867-2499
Type: Location
3515 SIARON WAY
HAMILTON, OH 450112684
Phone: (513) 278-8141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $934.
Total Amount is formed as General ($934) + Research ($0) + Ownership ($0) = $934.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($344).
Total Amount
$934
General + Research + Ownership
Payments
19
Total payment records
General Amount
$934
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130425000299 | I | Nurse Practitioner | OH | TBD |
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.
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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