JORDAN L DYER FNP
NPI 1386028488
Nurse Practitioner - Family in Corryton, TN
About Jordan L Dyer Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN L DYER FNP (NPI 1386028488) is an individual family provider in Corryton, Tennessee, licensed in Tennessee (20160) and active in the NPI registry since July 2015. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jordan L Dyer Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORRYTON, TN 37721
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 Dyer's NPI number?
The NPI number for Jordan Dyer is 1386028488. It was assigned to this individual provider in the NPPES registry on July 17, 2015.
Where is Jordan Dyer located?
Jordan Dyer practices at 7701 Corryton Rd, Corryton, TN 37721. The listed phone number is (865) 992-3031.
What is Jordan Dyer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jordan Dyer enrolled in Medicare?
No. Jordan Dyer has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jordan Dyer was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jordan L Dyer, FNP · NPI 1386028488
Family physician in Corryton, Tennessee. Individual provider, active in the CMS NPPES registry since July 17, 2015.
## Identity
- **NPI:** 1386028488 (Entity type: Individual)
- **Enumerated:** July 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 20160 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 7701 CORRYTON RD, Corryton, TN 37721-2630
- **Phone:** (865) 992-3031 · **Fax:** (865) 992-8103
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 11, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1386028488) · Data from the CMS NPPES public registry.