Jordan Allen, CRNP, RN
NPI 1407363153ActiveIndividual· Nurse Practitioner· Philadelphia, PA
Nurse Practitioner (CRNP, RN) with Tidalhealth Specialty Care LLC, practicing in Philadelphia, Pennsylvania. Part D covered 50 prescriptions written in 2024, 90% of them generic.
Overview
| NPI | 1407363153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP, RN |
| Sole proprietor | No |
| NPI issued | Jan 3, 2018 |
| Last updated in NPPES | Jan 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP018302 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MD) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 50 · 55 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $1,471 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Tidalhealth Specialty Care LLCSalisbury, MD · 398 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Philadelphia
- 1508622176
- 1013142835
- 1457768152
- 1790203669
- 1821403734
- 1497546055
- 1619381308
- 1083082523
- 1437425360
- 1063179554
- 1962160226
- 1518780998