JORDON BACKOR (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073172417
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for JORDON BACKOR (NP)
278, Tower Road, Bridge City, Orange County, Texas, 77630, United States
ORANGE, TX 776301697
Phone: (409) 748-0989
Type: Mailing
Bridge City, Orange County, Texas, 77611, United States
BRIDGE CITY, TX 776112838
Phone: (409) 735-7157
Type: Location
3952 HANNAHS WAY
LEAGUE CITY, TX 775733995
Phone: (409) 748-0989
Type: Mailing
19 BRIAR HOLLOW LN STE 102
HOUSTON, TX 770272813
Phone: (713) 795-5424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 194 Open Payments records for all available years, with a total value of $3,803.
Total Amount is formed as General ($3,803) + Research ($0) + Ownership ($0) = $3,803.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($660).
Total Amount
$3,803
General + Research + Ownership
Payments
194
Total payment records
General Amount
$3,803
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
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: 2019-10-02
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 |
|---|---|---|---|---|
| I20191002001242 | I | Nurse Practitioner | TX | 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 77630)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| Physician Assistant | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| Family Practice, Geriatric Medicine | TX | |
| - | TX |
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