JORDAN BOLLINGER NPI 1063030369

NPI Information

  • NPI: 1063030369
  • Provider Name: JORDAN BOLLINGER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 FORT SUMMIT WAY
    KNOXVILLE, TN
    ZIP 37915
  • Phone: (865) 679-0764

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NPI Details

Jordan Bollinger is a psychiatric/mental health nurse practitioner in Knoxville, TN. Jordan Bollinger NPI is 1063030369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

550 FORT SUMMIT WAY
KNOXVILLE, TN
ZIP 37915-146
Phone: (865) 679-0764

The NPI 1063030369 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth (HCPCS:G0426)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth (HCPCS:G0427)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/13/2020 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse227419TENNESSEENo
2363LP0808XNurse PractitionerPsychiatric/Mental Health78827NEW MEXICONo
3363LP0808XNurse PractitionerPsychiatric/Mental Health30045TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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