ROBERTA MARIE JORDAN (CNM, FNP) – Nurse Practitioner, NPI 1649550492
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for ROBERTA MARIE JORDAN (CNM, FNP)
PO BOX 637764
CINCINNATI, OH 452637764
Phone: (317) 880-3939
Type: Mailing
6940 Michigan Rd Ste 140
Indianapolis, IN 462682800
Phone: (317) 266-2901
Type: Location
3621 S STATE ST
700 KMS PLACE
ANN ARBOR, MI 48108
Phone: (734) 936-2047
Type: Mailing
1500 E MEDICAL CENTER DRIVE
VON VOIGTLANDER WOMENS HOSPITAL
ANN ARBOR, MI 481094256
Phone: (734) 936-4000
Type: Location
6452 CITY WEST PARKWAY
NEW KINGDOM HEALTHCARE
EDEN PRAIRIE, MN 553440010
Phone: (952) 999-0333
Fax: (952) 300-2558
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($121).
Total Amount
$137
General + Research + Ownership
Payments
2
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $121 |
| Boston Scientific Corporation | $16 |
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: 2023-06-01
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 |
|---|---|---|---|---|
| I20230601001767 | I | Nurse Practitioner | IN | 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 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| - | IN |
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