CMS-1500 Box 24J / 33a • NPI
1477217156
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WH1000X
Licensed & Credentialed Registered Nurse, Hospice
Box 32 Service Location & ZIP+4
3591 PITTSBURGH RD, PERRYOPOLIS, PA, 15473-1307
✓ 9-Digit EDI 837 ZIP+4 (15473-1307)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477217156 (BOBBI JORDON, LPN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477217156 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BOBBI JORDON, LPN |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Hospice NUCC Code: 163WH1000X (Registered Nurse, Hospice) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3591 PITTSBURGH RD, PERRYOPOLIS, PA, 15473-1307 |
| Practice Telephone / Fax | Tel: (724) 736-8390 |
| Administrative Mailing Address | 205 EASY ST, UNIONTOWN, PA, 15401-3128 |
| Enumeration & Last Sync | Enumerated: 2021-10-28 | CMS Record Updated: 2025-08-19 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (163WH1000X)
What Does Taxonomy Code 163WH1000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WH1000X translates to:
"Licensed & Credentialed Registered Nurse, Hospice"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BOBBI JORDON, LPN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
164W00000X — Licensed Practical NursePlain English: Licensed & Credentialed Licensed Practical Nurse | State: PA | License: PN096451L | Primary: Secondary |
163WH1000X — Registered Nurse, HospicePlain English: Licensed & Credentialed Registered Nurse, Hospice | State: PA | License: RN799379 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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