JORDAN RYAN KILGORE RN, AGACNP-BC
NPI 1962185686
Nurse Practitioner - Acute Care in Dunlap, TN

Q: 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.

Q: What is Jordan Kilgore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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.

Active since August 09, 2023PECOS Enrolled

870 BOSTON TOWN RD, DUNLAP, TN 37327(423) 243-4812 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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

NPI1962185686

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJORDAN RYAN KILGORECredential: RN, AGACNP-BC

Location Address870 BOSTON TOWN RDDunlap, TN 37327-4536

Mailing Address870 Boston Town RdDunlap, TN 37327-4536 · (423) 243-4812

Phone(423) 243-4812

Sole ProprietorNo

Medical School CMSChattanooga Medical CollegeGraduated 2023

Enumeration DateAugust 9, 2023

Last NPPES UpdateFebruary 15, 2024

NPPES CertifiedFebruary 15, 2024

✔ NPI 1962185686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TN · 34441

Also ListedRegistered NurseTaxonomy 163W00000X · License 231456 (TN)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 34441 (TN)

870 BOSTON TOWN RD, Dunlap, TN 37327

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

PECOS PAC ID9830609692

PECOS Enrollment IDI20251014003201

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 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.

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 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.

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.