Rosella Dawn Jordan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3015719 Issued in KY

Practice address

645 Interstate Dr
Grayson, KY 41143-1704

Phone

(606) 474-0669

NPI assigned

Jan 21, 2021

Last updated

Aug 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis County Primary Care Center, IncGroup PAC ID 1153311774, 86 clinicians

Yatesville Emergency Group, LLCGroup PAC ID 1355762485, 12 clinicians

Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
• Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

84.14

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rosella.jordan.1@13661.direct.athenahealth.com
• Direct secure messaging: rosella.jordan.1@1954.direct.athenahealth.com

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

• Lewis County Primary Care Center, Inc.

  dba PrimaryPlus

  • Federally Qualified Health Center (FQHC)
  • Vanceburg, KY
  • NPI 1457303802
  Medicare reassignment Care Compare group NPD
• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1568567345

  Family

  Medicare reassignment Care Compare group NPD
• Yatesville Emergency Group, LLC

  • Emergency Medicine Physician
  • Louisa, KY
  • NPI 1053946970
  Medicare reassignment Care Compare group NPD
• Lewis County Primary Care Center, Inc.

  dba PrimaryPlus - Morehead

  • Federally Qualified Health Center (FQHC)
  • Morehead, KY
  • NPI 1215643440
  NPD
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation
• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • General Acute Care Hospital
  • Louisa, KY
  • NPI 1063484483
  Care Compare affiliation

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1710577960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 INTERSTATE DR",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431704",
            "telephone_number": "606-474-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 S Highway 3",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412306686",
            "country_code": "US",
            "telephone_number": "606-369-1149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ROSELLA",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Behavioral Health Services
• Kerie Lynn Ison
• Rachel James
• Emily Johnson
• Nick Johnson
• Sherry Judson
• Richard C Justice, D.M.D.
• Bridgette Kazee
• Kee Eye Care PLLC
• Anthony Scott Kee, OD

• Family Nurse Practitioner in Grayson, KY
• Providers in Grayson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.