JORDAN FRAZIER SHELBURNE FNP
NPI 1083202725
Nurse Practitioner - Family in Johnson City, TN

Active since January 07, 2021PECOS EnrolledAccepts Medicare Assignment
2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2021, Jan 7, 2021 (2 updates tracked since 2021).

About Jordan Frazier Shelburne Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN FRAZIER SHELBURNE FNP (NPI 1083202725) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (28750) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083202725
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN FRAZIER SHELBURNECredential: FNP
Location Address2410 SUSANNAH STJohnson City, TN 37601-1748
Mailing Address4213 Anchor PtKingsport, TN 37664-2986 · (276) 337-0478
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 7, 2021
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
NPI 1083202725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 28750
2410 SUSANNAH ST, Johnson City, TN 37601

Secondary Practice Locations 3

Location 1340 Steeles RdBristol, TN 37620-9532 · Phone (423) 282-9011
Location 24213 Anchor PtKingsport, TN 37664-2986 · Phone (276) 337-0478
Location 3875 Larry Neil WayKingsport, TN 37660-6368 · Phone (423) 282-9011

Other Identifiers 1

Other28750TN · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Frazier Shelburne Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375933575
PECOS Enrollment IDI20211202000379
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
330 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
204 services195 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
154 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
104 services104 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
81 services78 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
70 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers12 claims12 services$226.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physician Assistant
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Orthopaedic Surgery
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Specialist/Technologist (Athletic Trainer)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Shelburne's NPI number?

The NPI number for Jordan Shelburne is 1083202725. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Jordan Shelburne located?

Jordan Shelburne practices at 2410 Susannah St, Johnson City, TN 37601. The listed phone number is (423) 282-9011.

What is Jordan Shelburne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jordan Shelburne enrolled in Medicare?

Yes. Jordan Shelburne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Shelburne accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jordan Shelburne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Shelburne was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.