JORDAN RYAN KILGORE RN, AGACNP-BC
NPI 1962185686
Nurse Practitioner - Acute Care in Dunlap, TN
About Jordan Ryan Kilgore Rn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RYAN KILGORE RN, AGACNP-BC (NPI 1962185686) is an individual acute care provider in Dunlap, Tennessee, licensed in Tennessee (34441) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Chattanooga Medical College (2023).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Ryan Kilgore Rn, Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Kilgore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Boiling Springs, TN 37150
- Reassigned Medicare billing, Tennessee enrollment
- 8 clinicians in this Medicare group
Louisville, KY 40205
- Reassigned Medicare billing, Kentucky enrollment
- 18 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 37327 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kilgore's NPI number?
The NPI number for Jordan Kilgore is 1962185686. It was assigned to this individual provider in the NPPES registry on August 9, 2023.
Where is Jordan Kilgore located?
Jordan Kilgore practices at 870 Boston Town Rd, Dunlap, TN 37327. The listed phone number is (423) 243-4812.
What is Jordan Kilgore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jordan Kilgore enrolled in Medicare?
Yes. Jordan Kilgore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jordan Kilgore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Kilgore reassigns Medicare benefits to 2 organizations: Longevity Clinical Ltc Associates Of Tennessee, PLLC (Red Boiling Springs, TN) and Longevity Clinical Ltc Associates Of Kentucky, PLLC (Louisville, KY). 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 Kilgore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Kilgore accept?
Health plans from Cigna Healthcare list Jordan Kilgore 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 Kilgore was last updated on February 15, 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.
# Jordan Ryan Kilgore, RN, AGACNP-BC · NPI 1962185686
Acute Care physician in Dunlap, Tennessee. Individual provider, active in the CMS NPPES registry since August 9, 2023.
## Identity
- **NPI:** 1962185686 (Entity type: Individual)
- **Enumerated:** August 9, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 34441 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 870 BOSTON TOWN RD, Dunlap, TN 37327-4536
- **Phone:** (423) 243-4812
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Longevity Clinical Ltc Associates Of Tennessee, PLLC (NPI 1326878299, Red Boiling Springs, TN); Longevity Clinical Ltc Associates Of Kentucky, PLLC (NPI 1932935798, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chattanooga Medical College, class of 2023
## Record status
- **NPPES last updated:** February 15, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1962185686) · Data from the CMS NPPES public registry.