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

Mario Jordan, APRN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578014403

Mario Jordan, APRN, PMHNP-BC is a Nurse Practitioner in Lakewood, Ohio. Qualified in 2022, 4 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

12900 Lake Ave Apt 1101
Lakewood, OH 44107-1552
Phone: (216) 269-8527
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0034613 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN416819 (OH)

Record details

NPI number1578014403
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 14, 2016
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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