JORDAN SCOTT NICKELS
NPI 1922929504
Nurse Practitioner - Family in Rogersville, TN
About Jordan Scott Nickels NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN SCOTT NICKELS (NPI 1922929504) is an individual family provider in Rogersville, Tennessee, licensed in Tennessee (42437) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Scott Nickels 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Nickels reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spring Hill, TN 37174
- Reassigned Medicare billing, Tennessee enrollment
- 985 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Tennessee enrollment
- 537 clinicians in this Medicare group
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 37857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nickels's NPI number?
The NPI number for Jordan Nickels is 1922929504. It was assigned to this individual provider in the NPPES registry on July 21, 2026.
Where is Jordan Nickels located?
Jordan Nickels practices at 300 Park Blvd, Rogersville, TN 37857. The listed phone number is (423) 347-6021.
What is Jordan Nickels's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jordan Nickels enrolled in Medicare?
Yes. Jordan Nickels 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.
Which organizations bill Medicare for Jordan Nickels's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Nickels reassigns Medicare benefits to 2 organizations: Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Upperline Healthcare, PC (Hoover, AL). Each 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 Nickels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Nickels accept?
Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Jordan Nickels 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 Nickels was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jordan Scott Nickels · NPI 1922929504
Family physician in Rogersville, Tennessee. Individual provider, active in the CMS NPPES registry since July 21, 2026.
## Identity
- **NPI:** 1922929504 (Entity type: Individual)
- **Enumerated:** July 21, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 42437 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PARK BLVD, Rogersville, TN 37857-2912
- **Phone:** (423) 347-6021
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fast Pace Medical Clinic PLLC (NPI 1134452865, Spring Hill, TN); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922929504) · Data from the CMS NPPES public registry.