JORDAN BROOKE CHILDRESS FNP
NPI 1679153720
Nurse Practitioner - Family in Kingsport, TN

Q: What is Jordan Childress's NPI number?

The NPI number for Jordan Childress is 1679153720. It was assigned to this individual provider in the NPPES registry on April 13, 2021. The provider is also known as Jordan Stivers.

Q: What is Jordan Childress's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Childress was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 13, 2021PECOS EnrolledAccepts Medicare Assignment

105 W STONE DR STE 1F, KINGSPORT, TN 37660(423) 230-2420(423) 230-2422 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2025, Dec 6, 2021, Apr 26, 2021 and 1 more (4 updates tracked since 2021).

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About Jordan Brooke Childress Fnp NPPES

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

JORDAN BROOKE CHILDRESS FNP (NPI 1679153720) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (29287) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679153720

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJORDAN BROOKE CHILDRESSCredential: FNP

Location Address105 W STONE DR STE 1FKingsport, TN 37660-3365

Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066

Phone(423) 230-2420

Fax(423) 230-2422

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 13, 2021

Last NPPES UpdateApril 4, 20254 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1679153720 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

Licenses✔ Licensed in TN · 29287✔ Licensed in VA · 0024173715

105 W STONE DR STE 1F, Kingsport, TN 37660

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Other Names 1

Former Name (1)Jordan Stivers

Secondary Practice Location 1

Location 1301 Med Tech Pkwy Ste 240Johnson City, TN 37604-2641 · Phone (423) 794-5520 · Fax (423) 282-6940

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

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

Jordan Brooke Childress 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 ID1052714946

PECOS Enrollment IDI20210729003014

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

Medicare enrollment records show Jordan Childress reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holston Medical Group PC

0.2 mi

Medical Laboratory

105 W STONE DR, 1H
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee enrollment
250 clinicians in this Medicare group

NPI 1356405120 (423) 392-6200

State Of Franklin Healthcare Associates PLLC

14 mi

Internal Medicine

121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615

Reassigned Medicare billing, Tennessee enrollment
357 clinicians in this Medicare group

NPI 1063459410 (423) 794-5500

Well-Key Health, PLLC

74 mi

Urgent Care

1787 VETERANS BLVD, SUITE 101
Sevierville, TN 37862

Reassigned Medicare billing, Tennessee enrollment
74 clinicians in this Medicare group

NPI 1114234382 (865) 428-2773

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 6

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, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

100 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

97 services93 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.

33 services26 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.

30 services30 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.

24 services24 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 9

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

LAURA WAGNER

Physician Assistant (Medical)