JORDAN MICHAEL DOERR (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1497334361

JORDAN MICHAEL DOERR (MD) is a healthcare provider. based in Wenatchee, Washington. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD61584204 (WA). The NPI Number for JORDAN MICHAEL DOERR (MD) is 1497334361

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN MICHAEL DOERR (MD)
NPI
1497334361
Phone
(509) 663-8711
Address
820 N CHELAN AVE
Enumeration Date
6 April 2021
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096638711
Graduation Year
2021 (5 years ago)
PAC ID
0446618995
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20230801003967
Address ID
WA988151037CA303XXAVEX300

Contacts

FHIR Endpoint
https://epicoxy.et0764.epichosted.com/FHIRProxy/api/FHIR/Rpr4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

Provider Addresses for JORDAN MICHAEL DOERR (MD)

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

  • 3720 LACLEDE AVE APT 3254

    SAINT LOUIS, MO 631083374

    Phone: (509) 679-1087

    Type: Mailing

  • 1919 LINCOLN WAY STE 315

    COEUR D ALENE, ID 838142527

    Phone: (208) 625-6000

    Fax: (208) 625-6001

    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 $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: MIMEDX Group, Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MIMEDX Group, Inc.$31
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: 2024-09-03

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
I20240903003423IGeriatric MedicineWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98801)

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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: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineOR
-WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YMT
-WA
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyOH
Physician AssistantWA

Reviews

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Frequently asked questions

Can I cross-check JORDAN MICHAEL DOERR (MD) using NPI 1497334361?
NPI 1497334361 belongs to JORDAN MICHAEL DOERR (MD); compare other details if you need extra assurance.
Is there an active status for JORDAN MICHAEL DOERR (MD)?
For scheduling context, JORDAN MICHAEL DOERR (MD) is shown as active in the registry.
What clinical focus is listed for JORDAN MICHAEL DOERR (MD)?
At a glance, JORDAN MICHAEL DOERR (MD) is tied to Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is JORDAN MICHAEL DOERR (MD) associated with Wenatchee?
Public fields place JORDAN MICHAEL DOERR (MD) around Wenatchee, Washington. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JORDAN MICHAEL DOERR (MD) is noted as April 6, 2021 where the registry provides it.

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