SHANNA JORDAN AGNP
NPI 1770336687
Nurse Practitioner - Gerontology in Shenandoah, TX

Q: What is Shanna Jordan's NPI number?

The NPI number for Shanna Jordan is 1770336687. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Q: What is Shanna Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shanna Jordan was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 09, 2024PECOS EnrolledAccepts Medicare Assignment

150 PINE FOREST DR STE 110, SHENANDOAH, TX 77384(281) 709-2555 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shanna Jordan Agnp NPPES

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

SHANNA JORDAN AGNP (NPI 1770336687) is an individual gerontology provider in Shenandoah, Texas, licensed in Texas (1156999) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770336687

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSHANNA JORDANCredential: AGNP

Location Address150 PINE FOREST DR STE 110Shenandoah, TX 77384-5303

Mailing Address28100 Sunshine Hollow DrSpring, TX 77386-4793 · (409) 489-6221

Phone(281) 709-2555

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 9, 2024

NPPES CertifiedApril 9, 2024

✔ NPI 1770336687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · 1156999

150 PINE FOREST DR STE 110, Shenandoah, TX 77384

Open in Google Maps ↗

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

Shanna Jordan Agnp 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 ID4981046505

PECOS Enrollment IDI20240529000910

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 7

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

DESTONI EDWARDS

Nurse Practitioner (Family)