Doctor profile · Federal record

Dr. Jordan Knickerbocker, NP

Pediatric Nurse Practitioner · Grand Junction, CO

  • NPI 1811676786
  • 3 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3150 N 12Th St
Grand Junction, CO 815062863
(970) 254-2642
Mailing address
Po Box 10700
Grand Junction, CO 815025517

Credentials & registration

NPPES · NUCC
NPI registered
July 2023 — 3 yrs on file
Profile last updated
October 16, 2024
Specialty taxonomy
363LP0200X — NUCC code
State license (1)
Colorado #PENDING

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1811676786. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Organon Llc 1 $16.42

By nature of payment

Food and Beverage
$16

Frequently asked questions

Auto-generated from federal data
What is Dr. Jordan Knickerbocker's medical specialty?
Dr. Jordan Knickerbocker practices Pediatric Nurse Practitioner in Grand Junction, CO.
Where does Dr. Jordan Knickerbocker practice?
Dr. Jordan Knickerbocker practices at 3150 N 12Th St, Grand Junction, CO 815062863. Office phone: 9702542642.
What is Dr. Jordan Knickerbocker's NPI?
Dr. Jordan Knickerbocker's National Provider Identifier (NPI) is 1811676786, issued by NPPES.