Jordan Jackson, MD
NPI 1417680513 · Student in an Organized Health Care Education/Training Program · Detroit, MI
Enrolled with Medicare as Order and Referring Only - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Jackson, MD is a Student in an Organized Health Care Education/Training Program provider in Detroit, MI (NPI 1417680513).
Provider details
- NPI number
- 1417680513
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2022-07-06
- Last updated
- 2024-04-19
- Certified
- 2024-04-19
Frequently asked questions
- What is Jordan Jackson's NPI number?
- Jordan Jackson's National Provider Identifier (NPI) is 1417680513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Jackson's specialty?
- Jordan Jackson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jordan Jackson located?
- Jordan Jackson's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2608.
- What is Jordan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jordan Jackson is (313) 916-2600.
- Does Jordan Jackson accept Medicare?
- Jordan Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Jackson's NPI active?
- Yes — Jordan Jackson's NPI (1417680513) is active in the NPPES registry as of the last update on 2024-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.