Jordan Ryan Kilgore, RN, AGACNP-BC - Medicare Nurse Practitioner in Dunlap, TN

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Jordan Ryan Kilgore, RN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Dunlap, Tennessee. His current practice location is 870 Boston Town Rd, Dunlap, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 243-4812.

Jordan Ryan Kilgore is licensed to practice in Tennessee (license number 34441) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962185686.

Contact Information

Jordan Ryan Kilgore, RN, AGACNP-BC
870 Boston Town Rd,
Dunlap, TN 37327-4536
(423) 243-4812
Not Available

Map and Direction




Provider's Profile

Full NameJordan Ryan Kilgore
GenderMale
SpecialityNurse Practitioner - Acute Care
Location870 Boston Town Rd, Dunlap, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962185686
  • Provider Enumeration Date: 08/09/2023
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830609692
  • Enrollment ID: I20250610003290

Medical Identifiers

Medical identifiers for Jordan Ryan Kilgore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962185686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 231456 (Tennessee)Secondary
363LG0600XNurse Practitioner - Gerontology 34441 (Tennessee)Secondary
363LA2100XNurse Practitioner - Acute Care 34441 (Tennessee)Primary

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. Jordan Ryan Kilgore allows following entities to bill medicare on his behalf.
Entity NameLongevity Clinical Ltc Associates Of Tennessee, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326878299
PECOS PAC ID: 3779019146
Enrollment ID: O20241209002269

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. Jordan Ryan Kilgore 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
Jordan Ryan Kilgore, RN, AGACNP-BC
870 Boston Town Rd,
Dunlap, TN 37327-4536

Ph: (423) 243-4812		Jordan Ryan Kilgore, RN, AGACNP-BC
870 Boston Town Rd,
Dunlap, TN 37327-4536

Ph: (423) 243-4812

Reviews and Comments


Nurse Practitioner Nurses in Dunlap, TN

Tarrah Davis, FNP-C
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Phone: 904-652-9890    
Mrs. Kasey Leann Mills, MSN, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 7449 State Route 28, Dunlap, TN 37327
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Practice Location: 67 Cates St, Dunlap, TN 37327
Phone: 423-949-2171    Fax: 423-949-5118
Ashley Shay Eaton,
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Medicare: Medicare Enrolled
Practice Location: 360 Dell Trl, Dunlap, TN 37327
Phone: 423-949-4651    Fax: 423-949-5652
Courtney R Robertson, NP
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Medicare: Medicare Enrolled
Practice Location: 7449 State Route 28, Dunlap, TN 37327
Phone: 423-443-3262    Fax: 423-443-3273
Jessica Dion Shedd, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15166 Rankin Ave, Dunlap, TN 37327
Phone: 423-949-6300    Fax: 423-949-6374

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.