Doctor profile · Federal record
Dr. Roberta Jordan, CNM, FNP
Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · Advanced Practice Midwife · Advanced Practice Midwife · Eden Prairie, MN
- NPI 1649550492
- Accepts Medicare
- 6 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6452 City West Parkway, New Kingdom Healthcare
Eden Prairie, MN 553440010
(952) 999-0333
fax (952) 300-2558 - Additional location
-
6940 Michigan RD Ste 140
Indianapolis, IN 462682800
(317) 266-2901 - Mailing address
-
Po Box 637764
Cincinnati, OH 452637764
Credentials & registration
- NPI registered
- August 2011 — 15 yrs on file
- Profile last updated
- September 22, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (4)
- Indiana #71012163A · Minnesota #8127 · Minnesota #458 · Michigan #4704244874
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649550492. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$121
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $121.18 |
By nature of payment
Frequently asked questions
What is Dr. Roberta Jordan's medical specialty?
Dr. Roberta Jordan practices Nurse Practitioner in Eden Prairie, MN.
Where does Dr. Roberta Jordan practice?
Dr. Roberta Jordan practices at 6452 City West Parkway, Eden Prairie, MN 553440010. Office phone: 9529990333.
What is Dr. Roberta Jordan's NPI?
Dr. Roberta Jordan's National Provider Identifier (NPI) is 1649550492, issued by NPPES.
Does Dr. Roberta Jordan accept Medicare assignment?
Yes. Dr. Roberta Jordan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.