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JESSICA DIANE BORN FNP
NPI 1336873827
Nurse Practitioner in Clemmons, NC

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
6301 STADIUM DR # 500, CLEMMONS, NC 27012(336) 766-6473(336) 766-8909 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Aug 1, 2024, Dec 6, 2022 and 2 more (5 updates tracked since 2022).

About Jessica Diane Born Fnp NPPES

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

JESSICA DIANE BORN FNP (NPI 1336873827) is an individual nurse practitioner in Clemmons, North Carolina, licensed in North Carolina (5016888) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336873827
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA DIANE BORNCredential: FNP
Location Address6301 STADIUM DR # 500Clemmons, NC 27012-8766
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 766-6473
Fax(336) 766-8909
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 12, 2022
Last NPPES UpdateApril 7, 20265 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1336873827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5016888
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5016888 (NC)
6301 STADIUM DR # 500, Clemmons, NC 27012
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Secondary Practice Locations 2

Location 14285 Wedge DrPfafftown, NC 27040-9820 · Phone (336) 413-1863
Location 2865 Westlake DrMount Airy, NC 27030-2102 · Phone (336) 719-6100 · Fax (336) 719-2313

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Diane Born 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 ID8022486380
PECOS Enrollment IDI20221118000109
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Born reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Family Medicine
6301 STADIUM DR STE 500
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1770221715 (336) 766-6473
Forsyth Memorial Hospital Inc
Same address
Family Medicine
6301 STADIUM DR
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1780642629 (336) 766-6473

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
198 services121 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

THANE ROBERT CAMPBELL MD
Family Medicine
6301 STADIUM DR # 500
CLEMMONS, NC 27012
Forsyth County (336) 766-6473

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 Jessica Born's NPI number?

The NPI number for Jessica Born is 1336873827. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Jessica Born located?

Jessica Born practices at 6301 Stadium Dr # 500, Clemmons, NC 27012. The listed phone number is (336) 766-6473.

What is Jessica Born's specialty?

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

Is Jessica Born enrolled in Medicare?

Yes. Jessica Born 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.

Which organizations bill Medicare for Jessica Born's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Born reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Clemmons, NC) and Forsyth Memorial Hospital Inc (Clemmons, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Born's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Born affiliated with any hospitals?

According to CMS data, Jessica Born is affiliated with Northern Regional Hospital and Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Born was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.