Jordan B Patterson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4028381 Issued in KY

Practice address

1101 Master St
Corbin, KY 40701-3511

Phone

(606) 528-2881

Fax

(606) 528-0293

NPI assigned

Sep 28, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Rural Health Information Technology Network IncGroup PAC ID 6608101522, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentucky Rural Health Information Technology Network, Inc.

  • Primary Care Clinic/Center
  • London, KY
  • NPI 1972063204

  KY

  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of E Commonwealth Ky PSC

  • Dermatology Physician
  • Corbin, KY
  • NPI 1255299616

  KY

  Medicare reassignment NPD
• Kentucky Rural Health Information Technology Network Inc

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1902758410
  Care Compare group
• Kentucky Rural Health Information Technology Network Inc

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1982556494
  Care Compare group
• Kentucky Rural Health Information Technology Network, Inc.

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1043886591
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1245058312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407013511",
            "telephone_number": "606-528-2881",
            "fax_number": "606-528-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JORDAN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-28",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4028381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Passow Capobianco, LCSW
• Neil Patil, NP
• Usha Patil, M.D.
• Stephanie Patin
• Cymbre Lin Patrick, LCSW
• Krystal Dawn Patterson
• Melissa Renee Patterson, MA, LPCC
• Pennington Wellness LLC
• Deedra Pennington, D.C.
• Madison Pennington

• All providers in Corbin, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.