JORDAN DAVENPORT FNP-BC
NPI 1609601053
Nurse Practitioner in Bristol, VA

NPI Status: Active since September 05, 2024

Contact Information

245 NORTH ST
BRISTOL, VA
ZIP 24201
Phone: (276) 669-4711

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  • Individual
  • Female
  • Years of Experience 2
  • Nurse Practitioner
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JORDAN DAVENPORT

This page provides the complete NPI Profile along with additional information for Jordan Davenport, a provider established in Bristol, Virginia with a medical specialization in Nurse Practitioner and more than 2 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2024. The healthcare provider is registered in the NPI registry with number 1609601053 assigned on September 2024. The practitioner's primary taxonomy code is 363L00000X with license number 36876 (TN). The provider is registered as an individual and her NPI record was last updated May 2025.

NPI
1609601053
Provider Name
JORDAN DAVENPORT FNP-BC
Gender
Female
Entity Type
Individual
Location Address
245 NORTH ST BRISTOL, VA 24201
Location Phone
(276) 669-4711
Mailing Address
2717 E OAKLAND AVE JOHNSON CITY, TN 37601
Mailing Phone
(423) 926-2358
Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
09-05-2024
Last Update Date
05-15-2025
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A nurse practitioner (NP) like Jordan Davenport is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
36876
License State
TN
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Medicare Participation & PECOS Enrollment Status

Jordan Davenport is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jordan Davenport is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103355714

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250128002136

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.72 for a new patient copayment and $24.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 24201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.88
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $21.72
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.13
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $24.78
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jordan Davenport is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
INDIAN PATH COMMUNITY HOSPITAL2000 BROOKSIDE DR
KINGSPORT, TN 37660
(423) 431-1941Acute Care Hospitals

Reviews for JORDAN DAVENPORT FNP-BC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609601053
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091202010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 2 + 0 + 2 + 0 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1609601053 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982709077MRS. JULIE ANN ADOLPHSON COTA/L
Individual
Occupational Therapy Assistant245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1598861460 LAURA BETH LOOMIS PTA
Individual
Physical Therapy Assistant245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1225134182 MARTHA CROSS KNOX P.T.
Individual
Physical Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1619073475 KATHRYN ANN CASELLI OTR
Individual
Occupational Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1619077104 GAIL L BURD OTR
Individual
Occupational Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1346547361 KRISTI LYNN WILLIAMSON COTA/L
Individual
Specialist/Technologist, Other245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1497182133 RACHEL M ARNOLD DPT
Individual
Physical Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1659770782MRS. LAURA LEIGH HENSLEY PTA
Individual
Physical Therapy Assistant245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1225432487 LANA NICHELLE HALL
Individual
Physical Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1144624313MR. JONATHAN DAVID HUNTER OTR/L
Individual
Occupational Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1649674896 ANDREW NETHERLAND M.S.OTR/L
Individual
Occupational Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1073756946 APRIL D MILLER PTA
Individual
Physical Therapy Assistant245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1043601388 LAURA BALDWIN
Individual
Physical Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1962883918MISS ASHLEY BROOKE BAILEY DPT
Individual
Physical Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1447629365DR. ALBERT SMITH PT, DPT
Individual
Physical Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1275992927 LINDSEY MARIE COX PT, DPT
Individual
Physical Therapist245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1083669832NHC HEALTHCARE-BRISTOL LLC
Organization
Skilled Nursing Facility245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1598214637 JAMIE GRAY LPTA
Individual
Physical Therapy Assistant245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1801347018 TAMMY ANN BRALLEY COTA/L
Individual
Occupational Therapy Assistant245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711
1598299547 LISA MARIE ROBERTS COTA
Individual
Occupational Therapy Assistant245 NORTH ST
BRISTOL, VA 24201
(276) 669-4711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609601053, enumerated in the NPI registry as an "individual" on September 05, 2024

The provider is located at 245 North St Bristol, Va 24201 and the phone number is (276) 669-4711

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider has more than 2 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2024.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $99.13 and an average copayment of 24.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): INDIAN PATH COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 05, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.