Kelli D Jordan, APRN in Chillicothe, OH - Medicare Nurse Practitioner

Kelli D Jordan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Chillicothe, Ohio. Her current practice location is 17273 State Route 104, Chillicothe, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 773-1141.

Kelli D Jordan is licensed to practice in Ohio (license number 14526) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215174149.

Contact Information

	Kelli D Jordan, APRN
	17273 State Route 104, Chillicothe, OH 45601-9718
	(740) 773-1141
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelli D Jordan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17273 State Route 104, Chillicothe, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215174149
Provider Enumeration Date: 01/14/2009
Last Update Date: 11/19/2020

Medicare PECOS Information:

PECOS PAC ID: 4385884386
Enrollment ID: I20170714002765

Medical Identifiers

Medical identifiers for Kelli D Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215174149	NPI	-	NPPES
0380425	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	336348 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	14526 (Ohio)	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. Kelli D Jordan allows following entities to bill medicare on her behalf.

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20181221001967

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. Kelli D 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 Address	Practice Location Address
Kelli D Jordan, APRN 17273 State Route 104, Chillicothe, OH 45601-9718 Ph: (740) 773-1141	Kelli D Jordan, APRN 17273 State Route 104, Chillicothe, OH 45601-9718 Ph: (740) 773-1141

Reviews and Comments

Nurse Practitioner Nurses in Chillicothe, OH

Ronald Lee Denney Jr., CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-592-7220
Traci A Powell, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-8728 Fax: 740-775-7855
Mrs. Lisa Elaine Vires, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4457 State Route 159, Chillicothe, OH 45601 Phone: 740-779-7813
Carissa Mitchell, APRN. CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4435 State Route 159, Chillicothe, OH 45601 Phone: 740-542-3030
Mrs. Megan D Kessler, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141
Thomas Shane Morgan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141
Jessica Dawn Yacques, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Shawnee Ln, Chillicothe, OH 45601 Phone: 740-779-4888

Kelli D Jordan, APRN - Medicare Nurse Practitioner in Chillicothe, OH