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MRS. SHANNON NICHOLE JORDAN FNP-C
NPI 1629812771
Nurse Practitioner - Family in Olive Branch, MS

Active since June 24, 2024PECOS Enrolled
6915 CRUMPLER BLVD STE C, OLIVE BRANCH, MS 38654(662) 874-5929 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Jun 24, 2024 (2 updates tracked since 2024).

About Mrs. Shannon Nichole Jordan Fnp-c NPPES

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

MRS. SHANNON NICHOLE JORDAN FNP-C (NPI 1629812771) is an individual family provider in Olive Branch, Mississippi, licensed in Mississippi (906721) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Olive Branch.

NPPES Registry Identity

NPI1629812771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON NICHOLE JORDANCredential: FNP-C
Location Address6915 CRUMPLER BLVD STE COlive Branch, MS 38654-1907
Mailing Address6915 Crumpler Blvd Ste COlive Branch, MS 38654-1907 · (662) 874-5929
Phone(662) 874-5929
Sole ProprietorNo
Enumeration DateJune 24, 2024
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1629812771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 906721
6915 CRUMPLER BLVD STE C, Olive Branch, MS 38654
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Other Names 1

Former Name (1)Mrs. Shannon Nichole Hudson

Secondary Practice Location 1

Location 14698 Riva Ridge DrOlive Branch, MS 38654-2010 · Phone (662) 816-8895

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Nichole Jordan Fnp-c 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.

Areas of Expertise CMS Part B claims 8

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
82 services13 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
76 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 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.
52 services51 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
47 services47 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38654 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

AARON DOUGLAS SMITH
Nurse Practitioner
6915 CRUMPLER BLVD STE C
OLIVE BRANCH, MS 38654
Desoto County (662) 874-5929

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 Shannon Jordan's NPI number?

The NPI number for Shannon Jordan is 1629812771. It was assigned to this individual provider in the NPPES registry on June 24, 2024. The provider is also known as Mrs. Shannon Nichole Hudson.

Where is Shannon Jordan located?

Shannon Jordan practices at 6915 Crumpler Blvd Ste C, Olive Branch, MS 38654. The listed phone number is (662) 874-5929.

What is Shannon Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Jordan enrolled in Medicare?

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

What insurance does Shannon Jordan accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Shannon 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 Shannon Jordan was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.