Michelle R Jordan, FNP-BC - Medicare Nurse Practitioner in West Covina, CA

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Michelle R Jordan, FNP-BC is a medicare enrolled "Nurse Practitioner" in West Covina, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1135 S Sunset Ave, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 918-6655.

Michelle R Jordan is licensed to practice in California (license number 95011851) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497129340.

Contact Information

Michelle R Jordan, FNP-BC
1135 S Sunset Ave,
West Covina, CA 91790-3937
(626) 918-6655
(626) 918-6633

Map and Direction




Provider's Profile

Full NameMichelle R Jordan
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1135 S Sunset Ave, West Covina, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle R Jordan graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1497129340
  • Provider Enumeration Date: 11/16/2015
  • Last Update Date: 04/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961702949
  • Enrollment ID: I20200311002776

Medical Identifiers

Medical identifiers for Michelle R Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497129340NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2015032210 (Missouri)Secondary
363L00000XNurse Practitioner 95011851 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle R Jordan allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameEmanate Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326582743
PECOS PAC ID: 4981986866
Enrollment ID: O20170130001647
Entity NameCep America - Neurology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225569346
PECOS PAC ID: 3971871500
Enrollment ID: O20170622001181

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle R Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle R Jordan, FNP-BC
1135 S Sunset Ave,
West Covina, CA 91790-3937

Ph: (626) 918-6655		Michelle R Jordan, FNP-BC
1135 S Sunset Ave,
West Covina, CA 91790-3937

Ph: (626) 918-6655

Reviews and Comments


Nurse Practitioner Nurses in West Covina, CA

Mrs. Claire Marie Tabares, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1115 S Sunset Ave, West Covina, CA 91790
Phone: 626-814-2547    
Moses Ewo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790
Phone: 714-709-3154    
Jettele Joy D Lara, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790
Phone: 626-732-8393    
Caroline Matibag Caspe, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Sunset Ave, West Covina, CA 91790
Phone: 626-960-6999    Fax: 626-960-5246
Ms. Shylee Bautista Tiamson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791
Phone: 310-292-0117    
Mrs. Evangeline Baquiran Pelaez, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791
Phone: 626-206-0523    Fax: 626-206-0553
Jacqueline Johnson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 S. Glendora Ave, West Covina, CA 91790
Phone: 616-250-5247    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.