JORDAN MASTALERZ PA-C
NPI 1508417205
Physician Assistant in Franklin, TN

Q: What is Jordan Mastalerz's NPI number?

The NPI number for Jordan Mastalerz is 1508417205. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Q: What is Jordan Mastalerz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Mastalerz was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment

4601 CAROTHERS PKWY STE 375, FRANKLIN, TN 37067(615) 791-4790 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Apr 17, 2024, Sep 9, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Jordan Mastalerz Pa-c NPPES

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

JORDAN MASTALERZ PA-C (NPI 1508417205) is an individual physician assistant in Franklin, Tennessee, licensed in Tennessee (3965) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508417205

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJORDAN MASTALERZCredential: PA-C

Location Address4601 CAROTHERS PKWY STE 375Franklin, TN 37067-6000

Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018

Phone(615) 791-4790

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 24, 2019

Last NPPES UpdateNovember 12, 20254 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1508417205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 3965

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 3965 (TN)

4601 CAROTHERS PKWY STE 375, Franklin, TN 37067

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1808 Hatcher LnColumbia, TN 38401-3524 · Phone (931) 388-6256 · Fax (931) 540-8732

Location 24323 Carothers Pkwy Ste 300Franklin, TN 37067-5917 · Phone (615) 791-8888 · Fax (615) 791-8667

Location 3120 Frank Martin Rd Ste 101Shelbyville, TN 37160-7195 · Phone (098) 693-1685

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 Mastalerz Pa-c 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 ID5294167615

PECOS Enrollment IDI20191122001475

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 7

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 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.

28 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

21 services17 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

16 services13 patients

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

16 services12 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440029

Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 5

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

DR. DEREK PAUL DE GRIJS M.D.

Surgery (Vascular Surgery)