JORDAN HARBORTH – Nurse Practitioner, NPI 1174908677

JORDAN HARBORTH is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 820968 (TX). The NPI Number for JORDAN HARBORTH is 1174908677

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN HARBORTH
NPI
1174908677
Phone
(512) 977-7000
Address
12345 N LAMAR BLVD STE 260
Enumeration Date
25 July 2015
Last Update Date
1 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
6305145582
Group Practice PAC ID
7214386770
Professional Enrollment ID
I20160422001614
Address ID
TX765743568TA2004XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JORDAN HARBORTH

  • 12345 N LAMAR BLVD STE 260

    AUSTIN, TX 787531347

    Phone: (512) 977-7000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 153 Open Payments records for all available years, with a total value of $7,718.

Total Amount is formed as General ($7,718) + Research ($0) + Ownership ($0) = $7,718.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Amneal Pharmaceuticals LLC ($1,616).

Total Amount

$7,718

General + Research + Ownership

Payments

153

Total payment records

General Amount

$7,718

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2016-04-22

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
I20160422001614INurse PractitionerTXTBD

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
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or2712$0
99215Established patient office or other outpatient visit, 40-54 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 78753)

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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: 7214386770View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)GA

Reviews

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Frequently asked questions

What unique ID ties claims to JORDAN HARBORTH?
NPI 1174908677 is assigned to JORDAN HARBORTH under the national enumeration system.
Is JORDAN HARBORTH's NPI currently valid?
The extract we use shows JORDAN HARBORTH as active.
Can you summarize JORDAN HARBORTH's specialty in plain language?
Clinically, the directory lists JORDAN HARBORTH with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JORDAN HARBORTH's primary listing?
We display Austin, Texas because that is what the record indicates for JORDAN HARBORTH.
What if Austin, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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