RAVEN JORDAN FNP
NPI 1083211544
Nurse Practitioner in Barbourville, KY

Active since October 07, 2020PECOS EnrolledAccepts Medicare Assignment
215 N ALLISON AVE, BARBOURVILLE, KY 40906(606) 546-9287 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2021, Oct 7, 2020 (2 updates tracked since 2020).

About Raven Jordan Fnp NPPES

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

RAVEN JORDAN FNP (NPI 1083211544) is an individual nurse practitioner in Barbourville, Kentucky, licensed in Kentucky (3015160) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083211544
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRAVEN JORDANCredential: FNP
Location Address215 N ALLISON AVEBarbourville, KY 40906-1336
Mailing Address18 Granger CtBarbourville, KY 40906-7212 · (606) 627-4235
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 7, 2020
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
NPI 1083211544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3015160
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
215 N ALLISON AVE, Barbourville, KY 40906

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

Raven Jordan 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 ID6800201237
PECOS Enrollment IDI20210217002873
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Physician Assistant
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Physician Assistant
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Pediatrics
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Nurse Practitioner
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Family Medicine
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Optometrist
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Counselor (Professional)
215 N ALLISON AVE
BARBOURVILLE, KY 40906
Counselor
215 N ALLISON AVE
BARBOURVILLE, KY 40906

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 Raven Jordan's NPI number?

The NPI number for Raven Jordan is 1083211544. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Raven Jordan located?

Raven Jordan practices at 215 N Allison Ave, Barbourville, KY 40906. The listed phone number is (606) 546-9287.

What is Raven Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Raven Jordan enrolled in Medicare?

Yes. Raven Jordan 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 Raven Jordan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Raven Jordan 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 Raven Jordan was last updated on September 22, 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.