Doctor profile · Federal record
Dr. Mario Jordan, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Lakewood, OH
- NPI 1578014403
- Accepts Medicare
- 4 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12900 Lake Ave Apt 1101
Lakewood, OH 441071552
(216) 269-8527
Credentials & registration
- NPI registered
- October 2016 — 10 yrs on file
- Profile last updated
- August 17, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (2)
- Ohio #APRN.CNP.0034613 · Ohio #RN416819
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578014403. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$139
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $123.70 | |
| Indivior INC. | 1 | $14.99 |
By nature of payment
Frequently asked questions
What is Dr. Mario Jordan's medical specialty?
Dr. Mario Jordan practices Psychiatric/Mental Health Nurse Practitioner in Lakewood, OH.
Where does Dr. Mario Jordan practice?
Dr. Mario Jordan practices at 12900 Lake Ave Apt 1101, Lakewood, OH 441071552. Office phone: 2162698527.
What is Dr. Mario Jordan's NPI?
Dr. Mario Jordan's National Provider Identifier (NPI) is 1578014403, issued by NPPES.
Does Dr. Mario Jordan accept Medicare assignment?
Yes. Dr. Mario Jordan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.