Rosella Dawn Jordan, APRN - Medicare Nurse Practitioner in Grayson, KY

Rosella Dawn Jordan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Grayson, Kentucky. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lewis County Primary Care Center Inc, Three Rivers Medical Clinics Inc, Yatesville Emergency Group, Llc and her current practice location is 645 Interstate Dr, Grayson, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 474-0669.

Rosella Dawn Jordan is licensed to practice in Kentucky (license number 3015719) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710577960.

Contact Information

Rosella Dawn Jordan, APRN
645 Interstate Dr,
Grayson, KY 41143-1704
(606) 474-0669
Not Available

Map and Direction




Provider's Profile

Full NameRosella Dawn Jordan
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location645 Interstate Dr, Grayson, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rosella Dawn Jordan graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1710577960
  • Provider Enumeration Date: 01/21/2021
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234548934
  • Enrollment ID: I20210510002803

Medical Identifiers

Medical identifiers for Rosella Dawn Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710577960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3015719 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters' Medical CenterAshland, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lewis County Primary Care Center Inc115331177477
Three Rivers Medical Clinics Inc731584504729
Yatesville Emergency Group, Llc135576248511

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rosella Dawn Jordan allows following entities to bill medicare on her behalf.
Entity NameThree Rivers Medical Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568567345
PECOS PAC ID: 7315845047
Enrollment ID: O20031219000463
Entity NameLewis County Primary Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457303802
PECOS PAC ID: 1153311774
Enrollment ID: O20040515000278
Entity NameYatesville Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053946970
PECOS PAC ID: 1355762485
Enrollment ID: O20200528001097

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rosella Dawn Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rosella Dawn Jordan, APRN
Po Box 550,
Vanceburg, KY 41179-0550

Ph: (606) 796-3029
Rosella Dawn Jordan, APRN
645 Interstate Dr,
Grayson, KY 41143-1704

Ph: (606) 474-0669

Reviews and Comments


Nurse Practitioner Nurses in Grayson, KY

Maria Baker Sargent, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Bellefonte Dr, Grayson, KY 41143
Phone: 606-474-0669    
Brittany Gene Bond, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Bellefonte Dr, Grayson, KY 41143
Phone: 606-475-5505    Fax: 606-475-5506
Mrs. Shelby Anne Hill, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 645 Interstate Dr, Grayson, KY 41143
Phone: 606-474-0669    
Kellie Richelle Sparks, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 645 Interstate Dr, Grayson, KY 41143
Phone: 606-474-0669    
Tori Scott,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 609 N Carol Malone Blvd Ste 100, Grayson, KY 41143
Phone: 606-475-0152    Fax: 606-474-4240
Stacy Holley, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 E Main St, Grayson, KY 41143
Phone: 606-474-0244    Fax: 606-474-0412
Corey Dean Frasier, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 State Highway 1947 # A, Grayson, KY 41143
Phone: 606-475-0152    Fax: 606-474-4240

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.