MR. CHARLES JORDAN (FNP-C) – Nurse Practitioner, NPI 1679033476
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MR. CHARLES JORDAN (FNP-C)
2350 HIGHWAY 16
DE LEON, TX 764446411
Phone:
Type: Mailing
2108 W WASHINGTON ST STE 100
STEPHENVILLE, TX 764013928
Phone: (254) 587-3848
Type: Location
16, Comanche Circle, Warwick Park, Millsboro, Sussex County, Delaware, 19966, United States
COMANCHE, TX 764424462
Phone: (254) 879-4910
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $122 |
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: 2019-08-06
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 |
|---|---|---|---|---|
| I20190806002997 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 94 | 89 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 66 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 25 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 26 | 12 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 22 | 21 | $0 |
Insurance plans in this area (ZIP 76444)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | SC | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Emergency Medicine | NM | |
| - | TX | |
| Family Practice | TX | |
| Emergency Medicine | TX | |
| - | TX |
Reviews
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