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JORDAN ROUNDTREE APRN, PMHNP
NPI 1871286989
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, TN

Active since June 02, 2023PECOS EnrolledAccepts Medicare Assignment
142 PUBLIC SQ STE E-104, LEBANON, TN 37087(931) 288-4619(931) 208-4063 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Jun 23, 2023, Jun 5, 2023 and 1 more (4 updates tracked since 2023).

About Jordan Roundtree Aprn, Pmhnp NPPES

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

JORDAN ROUNDTREE APRN, PMHNP (NPI 1871286989) is an individual psychiatric/mental health provider in Lebanon, Tennessee, licensed in Tennessee (34146) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871286989
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJORDAN ROUNDTREECredential: APRN, PMHNP
Location Address142 PUBLIC SQ STE E-104Lebanon, TN 37087-2871
Mailing Address142 Public Sq Ste E-104Lebanon, TN 37087-2871 · (931) 288-4619 · Fax (931) 208-4063
Phone(931) 288-4619
Fax(931) 208-4063
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 2, 2023
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1871286989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 34146
142 PUBLIC SQ STE E-104, Lebanon, TN 37087
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, 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 and accepts Medicare assignment

Jordan Roundtree Aprn, Pmhnp 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 ID2466812862
PECOS Enrollment IDI20230717003341
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 3

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 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.
68 services27 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
60 services27 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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.

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 Roundtree's NPI number?

The NPI number for Jordan Roundtree is 1871286989. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Jordan Roundtree located?

Jordan Roundtree practices at 142 Public Sq Ste E-104, Lebanon, TN 37087. The listed phone number is (931) 288-4619.

What is Jordan Roundtree's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jordan Roundtree enrolled in Medicare?

Yes. Jordan Roundtree is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Roundtree accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Jordan Roundtree 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 Jordan Roundtree was last updated on June 26, 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.