Jordan Frazier Shelburne, FNP in Johnson City, TN

Jordan Frazier Shelburne, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Watauga Orthopaedics Plc, Dominion Health And Fitness, Inc and his current practice location is 2410 Susannah St, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 282-9011.

Jordan Frazier Shelburne is licensed to practice in Tennessee (license number 28750) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083202725.

Contact Information

	Jordan Frazier Shelburne, FNP
	2410 Susannah St, Johnson City, TN 37601-1748
	(423) 282-9011
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Frazier Shelburne
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	2410 Susannah St, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan Frazier Shelburne graduated from nursing school in 2020

NPI Data:

NPI Number: 1083202725
Provider Enumeration Date: 01/07/2021
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3375933575
Enrollment ID: I20211202000379

Medical Identifiers

Medical identifiers for Jordan Frazier Shelburne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083202725	NPI	-	NPPES
28750	Other	TN	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28750 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Watauga Orthopaedics Plc	1456246479	66
Dominion Health And Fitness, Inc	3274570908	18

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 Frazier Shelburne allows following entities to bill medicare on his behalf.

Entity Name	Watauga Orthopaedics Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245251404 PECOS PAC ID: 1456246479 Enrollment ID: O20040218000903

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 Frazier Shelburne 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 Address	Practice Location Address
Jordan Frazier Shelburne, FNP 4213 Anchor Pt, Kingsport, TN 37664-2986 Ph: (276) 337-0478	Jordan Frazier Shelburne, FNP 2410 Susannah St, Johnson City, TN 37601-1748 Ph: (423) 282-9011

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615 Phone: 423-794-5988 Fax: 423-232-8583
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557

Jordan Frazier Shelburne, FNP - Medicare Nurse Practitioner in Johnson City, TN