Jordan Tanner, 95091873 RN - Medicare Nurse Practitioner in Sutter Creek, CA

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Jordan Tanner, 95091873 RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sutter Creek, California. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice County Of Amador and his current practice location is 10877 Conductor Blvd, Sutter Creek, California. You can reach out to his office (for appointments etc.) via phone at (209) 223-6412.

Jordan Tanner is licensed to practice in California (license number 95036141) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265255475.

Contact Information

Jordan Tanner, 95091873 RN
10877 Conductor Blvd,
Sutter Creek, CA 95685-9682
(209) 223-6412
(209) 223-0920

Map and Direction




Provider's Profile

Full NameJordan Tanner
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location10877 Conductor Blvd, Sutter Creek, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Tanner graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1265255475
  • Provider Enumeration Date: 11/05/2024
  • Last Update Date: 08/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7911489208
  • Enrollment ID: I20260305001776

Medical Identifiers

Medical identifiers for Jordan Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265255475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95036141 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Amador95372233756

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 Tanner allows following entities to bill medicare on his behalf.
Entity NameCounty of Amador
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205055886
PECOS PAC ID: 9537223375
Enrollment ID: O20140225001385

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 Tanner 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 Tanner, 95091873 RN
10877 Conductor Blvd,
Sutter Creek, CA 95685-9682

Ph: (209) 223-6412		Jordan Tanner, 95091873 RN
10877 Conductor Blvd,
Sutter Creek, CA 95685-9682

Ph: (209) 223-6412

Reviews and Comments



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.