JORDAN SHUART (PA-C) – Physician Assistant, NPI 1821505199

JORDAN SHUART (PA-C) is a healthcare provider. based in Blackwell, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2853 (OK). The NPI Number for JORDAN SHUART (PA-C) is 1821505199

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN SHUART (PA-C)
NPI
1821505199
Phone
Not provided
Address
115 W BRIDGE AVE
Enumeration Date
8 January 2018
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055151000
Graduation Year
2017 (9 years ago)
PAC ID
1052672813
Group Practice PAC ID
5496900706
Professional Enrollment ID
I20180219002579
Address ID
OK730729749NO3300XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for JORDAN SHUART (PA-C)

  • 115, West Bridge Avenue, Blackwell, Kay County, Oklahoma, 74631, United States

    BLACKWELL, OK 746312800

    Phone:

    Type: Mailing

  • PO BOX 721077

    NORMAN, OK 730704829

    Phone: (405) 366-8286

    Fax: (405) 579-0477

    Type: Mailing

  • 3300 HEALTHPLEX PKWY

    NORMAN, OK 730729749

    Phone: (405) 515-1000

    Fax: (405) 579-0477

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Shionogi Inc ($117).

Total Amount

$364

General + Research + Ownership

Payments

4

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2018-02-19

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
I20180219002579IPhysician AssistantOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes693118$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes20891$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes12849$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes9693$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes8950$0
View full utilization report →

Insurance plans in this area (ZIP 74631)

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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: 5496900706View full group profile
NameSpecialtyState
N E U R O L O G YOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
Critical Care (Intensivists), Pulmonary DiseaseOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
-OK
-OK
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineOK
Certified Registered Nurse Anesthetist (Crna)OK
G A S T R O E N T E R O L O G YOK
-OK

Reviews

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Frequently asked questions

What number should I use to identify JORDAN SHUART (PA-C) for billing?
Administrative and clinical systems typically use NPI 1821505199 for JORDAN SHUART (PA-C).
Is JORDAN SHUART (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JORDAN SHUART (PA-C) as active.
How should patients interpret JORDAN SHUART (PA-C)'s specialty?
The extract shows Physician Assistant for JORDAN SHUART (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to JORDAN SHUART (PA-C)?
The directory associates JORDAN SHUART (PA-C) with Blackwell, Oklahoma. Check all listed addresses for suites or satellite offices.
Who maintains JORDAN SHUART (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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