Jordan E Taylor, PNP in Coeur D Alene, ID - Medicare Nurse Practitioner

Jordan E Taylor, PNP is a medicare enrolled "Nurse Practitioner - Family" in Coeur D Alene, Idaho. Her current practice location is 1090 W Park Pl, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 215-2005.

Jordan E Taylor is licensed to practice in Washington (license number AP60904961) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144306549.

Contact Information

	Jordan E Taylor, PNP
	1090 W Park Pl, Coeur D Alene, ID 83814-2785
	(208) 215-2005
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan E Taylor
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1090 W Park Pl, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144306549
Provider Enumeration Date: 10/27/2006
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 9133369598
Enrollment ID: I20130708000292

Medical Identifiers

Medical identifiers for Jordan E Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144306549	NPI	-	NPPES
000010153955	Other	ID	REGENCE BLUE SHIELD
1047507	Medicaid	WA
1144306549	Medicaid	MT
NP708ID	Medicaid	AK
807343600	Medicaid	ID
9653353	Medicaid	WA
AP60904961	Other	WA	ARNP
NPXN3	Other	ID	BLUE CROSS
000010153954	Other	ID	REGENCE BLUE SHIELD
NPXN2	Other	ID	BLUE CROSS OF IDAHO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	NP729A (Idaho)	Secondary
363LF0000X	Nurse Practitioner - Family	AP60904961 (Washington)	Primary

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. Jordan E Taylor allows following entities to bill medicare on her behalf.

Entity Name	Dirne Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041

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. Jordan E Taylor 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 Address	Practice Location Address
Jordan E Taylor, PNP Po Box 1387, Hayden, ID 83835-1387 Ph: () -	Jordan E Taylor, PNP 1090 W Park Pl, Coeur D Alene, ID 83814-2785 Ph: (208) 215-2005

Reviews and Comments

Nurse Practitioner Nurses in Coeur D Alene, ID

Deborah Magnuson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782
Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1983 E Lookout Dr, Coeur D Alene, ID 83815 Phone: 208-964-0701
Mary Sandra Duff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-4557 Fax: 208-765-2887
Sydney Elizabeth Disselkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-769-8616
Ms. Kristina Marie Follger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5441
Jared Edward Bruder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 W Park Pl Ste 320, Coeur D Alene, ID 83814 Phone: 208-261-2255
Robin Marie Beard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814 Phone: 208-625-3640 Fax: 208-625-3645

Jordan E Taylor, PNP - Medicare Nurse Practitioner in Coeur D Alene, ID