Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Van Jordan, APRN-CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164210670

Jeremy Van Jordan, APRN-CNP is a Nurse Practitioner in Meridian, Idaho. Qualified in 2024, 2 years ago. Practices with Pioneer Family Medicine PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3851 S Como Ave
Meridian, ID 83642-1446
Phone: (208) 794-7165
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8671950 (ID)

Record details

NPI number1164210670
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedApril 26, 2025
Last updated in NPPESApril 26, 2025
Certification dateApril 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pioneer Family Medicine Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian