Jordan Tanner, 95091873 RN
NPI 1265255475 · Psychiatric/Mental Health Nurse Practitioner · Sutter Creek, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Tanner, 95091873 RN is a Psychiatric/Mental Health Nurse Practitioner provider in Sutter Creek, CA (NPI 1265255475).
Provider details
- NPI number
- 1265255475
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- 95091873 RN
- Sex
- Male
- Sole proprietor
- No
- License
- 95036141 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-05
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Jordan Tanner's NPI number?
- Jordan Tanner's National Provider Identifier (NPI) is 1265255475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Tanner's specialty?
- Jordan Tanner is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Tanner located?
- Jordan Tanner's practice location on file with NPPES is 10877 Conductor Blvd Ste 300, Sutter Creek, CA 95685-9688.
- What is Jordan Tanner's phone number?
- The practice phone number listed in the NPPES registry for Jordan Tanner is (209) 223-6412.
- Does Jordan Tanner accept Medicare?
- Jordan Tanner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Tanner's NPI active?
- Yes — Jordan Tanner's NPI (1265255475) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.