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JORDAN TYLER CHAMBERS ACNPC-AG
NPI 1609347574
Nurse Practitioner - Gerontology in Birmingham, AL

Active since December 17, 2018PECOS Enrolled
619 19TH ST S # OHB251, BIRMINGHAM, AL 35249(205) 996-5111(205) 930-7176 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2019, Dec 17, 2018 (2 updates tracked since 2018).

About Jordan Tyler Chambers Acnpc-ag NPPES

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

JORDAN TYLER CHAMBERS ACNPC-AG (NPI 1609347574) is an individual gerontology provider in Birmingham, Alabama, licensed in Alabama (1-140593) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1609347574
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameJORDAN TYLER CHAMBERSCredential: ACNPC-AG
Location Address619 19TH ST S # OHB251Birmingham, AL 35249-1932
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Phone(205) 996-5111
Fax(205) 930-7176
Sole ProprietorNo
Enumeration DateDecember 17, 2018
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
✔ NPI 1609347574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AL · 1-140593
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1-140593 (AL)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 1-140593 (AL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1-140593 (AL)
619 19TH ST S # OHB251, Birmingham, AL 35249
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Other Names 1

Other Name (5)J Tyler Chambers

Secondary Practice Location 1

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 801-5236

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Tyler Chambers Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jordan Chambers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Alabama Health Services Foundation, PC
0.9 mi
Ambulatory Surgical
2000 6TH AVE SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1124213376 (205) 801-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Chambers's NPI number?

The NPI number for Jordan Chambers is 1609347574. It was assigned to this individual provider in the NPPES registry on December 17, 2018. The provider is also known as J Tyler Chambers.

Where is Jordan Chambers located?

Jordan Chambers practices at 619 19th St S # Ohb251, Birmingham, AL 35249. The listed phone number is (205) 996-5111.

What is Jordan Chambers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jordan Chambers enrolled in Medicare?

Yes. Jordan Chambers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Chambers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Chambers reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The 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 Jordan Chambers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Chambers was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.