Doctor profile · Federal record
Dr. Antionette Jordan
Nurse Practitioner · Saint Louis, MO
- NPI 1275249237
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10004 Kennerly RD Ste 374B
Saint Louis, MO 631282178
(314) 842-9669
fax (314) 842-1017 - Mailing address
-
Po Box 802841
Kansas City, MO 641802841
Credentials & registration
- NPI registered
- January 2023 — 3 yrs on file
- Profile last updated
- August 6, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Missouri #2022047351
- Medicaid
- MO #420120169
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275249237. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
13
Distinct HCPCS
1
Medicare allowed
$2,904
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90961 |
Dialysis services, 2-3 physician visits per month (20 years or older) | 13 | 11 | $223 |
In context: peer comparison
Among 112 peers in Saint Louis Nurse Practitioner, average services per provider: 76. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$577
Transactions
32
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, INC. | 8 | $145.93 | |
| AstraZeneca Pharmaceuticals Lp | 5 | $91.06 | |
| GlaxoSmithKline, LLC. | 3 | $59.19 | |
| Travere Therapeutics, INC. | 3 | $44.33 | |
| Amgen INC. | 2 | $41.03 | |
| Novo Nordisk INC | 2 | $37.60 | |
| Lilly USA, LLC | 2 | $32.20 | |
| Akebia Therapeutics INC | 2 | $31.97 | |
| Ardelyx, INC. | 1 | $22.58 | |
| Bayer Healthcare Pharmaceuticals INC. | 1 | $20.75 | |
| Mallinckrodt Hospital Products INC. | 1 | $20.50 | |
| Baxter Healthcare | 1 | $16.32 | |
| Calliditas Therapeutics US INC. | 1 | $14.02 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Antionette Jordan's medical specialty?
Dr. Antionette Jordan practices Nurse Practitioner in Saint Louis, MO.
Where does Dr. Antionette Jordan practice?
Dr. Antionette Jordan practices at 10004 Kennerly RD Ste 374B, Saint Louis, MO 631282178. Office phone: 3148429669.
What is Dr. Antionette Jordan's NPI?
Dr. Antionette Jordan's National Provider Identifier (NPI) is 1275249237, issued by NPPES.
Does Dr. Antionette Jordan accept Medicare assignment?
Yes. Dr. Antionette Jordan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Antionette Jordan commonly perform?
Top Medicare-reported procedures in 2023: Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS 90961). Source: CMS Medicare Physician & Other Practitioners file.