Jordan Roberson, ARNP - Medicare Nurse Practitioner in Daytona Beach, FL

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Jordan Roberson, ARNP is a medicare enrolled "Nurse Practitioner" in Daytona Beach, Florida. Her current practice location is 305 Memorial Medical Pkwy Ste 301, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 615-1521.

Jordan Roberson is licensed to practice in Florida (license number 9410928) 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 1669965000.

Contact Information

Jordan Roberson, ARNP
305 Memorial Medical Pkwy Ste 301,
Daytona Beach, FL 32117-5157
(386) 615-1521
Not Available

Map and Direction




Provider's Profile

Full NameJordan Roberson
GenderFemale
SpecialityNurse Practitioner
Location305 Memorial Medical Pkwy Ste 301, Daytona Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669965000
  • Provider Enumeration Date: 06/11/2018
  • Last Update Date: 08/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1557607280
  • Enrollment ID: I20190116002550

Medical Identifiers

Medical identifiers for Jordan Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669965000NPI-NPPES
100175900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 9410928 (Florida)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 Roberson allows following entities to bill medicare on her behalf.
Entity NameBalanced Wellbeing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587
Entity NameOrmond Family Medical Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265192926
PECOS PAC ID: 8820482029
Enrollment ID: O20220304001128

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 Roberson 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
Jordan Roberson, ARNP
28 Silver Fox Trl,
Ormond Beach, FL 32174-8430

Ph: (386) 405-2823		Jordan Roberson, ARNP
305 Memorial Medical Pkwy Ste 301,
Daytona Beach, FL 32117-5157

Ph: (386) 615-1521

Reviews and Comments


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Bruce Harris, ARNP
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Cloressa Dizney, ARNP
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Phone: 386-425-4542    Fax: 386-425-7705
Holly Anne Smith,
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Practice Location: 1425 Dunn Ave, Daytona Beach, FL 32114
Phone: 386-323-9600    Fax: 386-323-9695
Mrs. Krystal Marie Disantis, NP-C
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Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 786-738-9144    Fax: 877-245-1597

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.