JORDAN CHICK – Emergency Medicine Physician, NPI 1477015436

JORDAN CHICK is a healthcare provider. based in Lincoln city, Oregon. specializing in EMERGENCY MEDICINE. They hold a License No. MD210238 (OR). The NPI Number for JORDAN CHICK is 1477015436

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN CHICK
NPI
1477015436
Phone
(541) 994-3661
Address
3043 NE 28th St
Enumeration Date
1 April 2019
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5412227300
Graduation Year
2019 (7 years ago)
PAC ID
7719361617
Group Practice PAC ID
2264330448
Professional Enrollment ID
I20220825003960
Address ID
OR974778800SP3333XDRXX300

Contacts

Secure Messaging
jchick299853@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

827 EMERGENCY MEDICINE in OR

Provider Addresses for JORDAN CHICK

  • 3043 NE 28th St

    Lincoln City, OR 973674518

    Phone: (541) 994-3661

    Type: Location

  • Duke University Hospital, 2301, Erwin Road, Crest Street, Durham, Durham County, North Carolina, 27710, United States

    DURHAM, NC 277054699

    Phone: (919) 684-8111

    Type: Mailing

  • PO BOX 5920

    EUGENE, OR 974050911

    Phone: (541) 344-8757

    Type: Mailing

  • 3333 RIVERBEND DR

    SPRINGFIELD, OR 974778800

    Phone: (541) 222-7300

    Type: Location

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: 2022-08-25

PECOS data refreshed: 2026-06-15

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
I20220825003960IEmergency MedicineORTBD

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
99285Emergency department visit with high level of medical decision making165163$0
99284Emergency department visit with moderate level of medical decision making8583$0
99291Critical care, first 30-74 minutes4242$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 97367)

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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: 2264330448View full group profile
NameSpecialtyState
Emergency MedicineOR
Emergency MedicineOR
Emergency MedicineID
Emergency MedicineOR
Emergency MedicineNJ
Emergency MedicineFL
Emergency MedicineOR
Emergency MedicineCA
Emergency MedicineOR
Emergency MedicineME

Reviews

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Frequently asked questions

What number should I use to identify JORDAN CHICK for billing?
Administrative and clinical systems typically use NPI 1477015436 for JORDAN CHICK.
Should I treat JORDAN CHICK as an active provider?
Patients and plans typically see JORDAN CHICK as active in the national extract.
What type of care does JORDAN CHICK provide?
JORDAN CHICK's profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JORDAN CHICK?
JORDAN CHICK shows a connection to Lincoln City, Oregon in registry-derived data.
Can I export JORDAN CHICK's record?
You can download the official NPPES record; we summarize key fields for readability.

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