JORDAN KELSI MAHAN (FNP-C) – Family Nurse Practitioner, NPI 1215225057
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JORDAN KELSI MAHAN (FNP-C)
4211 JOE RAMSEY BLVD E STE 100
GREENVILLE, TX 754017856
Phone: (903) 455-4767
Type: Mailing
4101 WESLEY ST STE D
GREENVILLE, TX 75401
Phone: (903) 408-5870
Fax: (903) 408-5879
Type: Location
4215 JOE RAMSEY BLVD E
GREENVILLE, TX 754017852
Phone: (903) 408-5834
Fax: (903) 408-5693
Type: Mailing
4818 WELLINGTON ST STE 1
GREENVILLE, TX 754026010
Phone: (903) 408-5860
Fax: (903) 408-5869
Type: Location
501 AIR PARK AVE
GREENVILLE, TX 754023000
Phone: (903) 408-5834
Fax: (903) 408-5693
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $1,487.
Total Amount is formed as General ($1,487) + Research ($0) + Ownership ($0) = $1,487.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($442).
Total Amount
$1,487
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,487
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $442 |
| AstraZeneca Pharmaceuticals LP | $342 |
| GlaxoSmithKline, LLC. | $83 |
| Astellas Pharma US Inc | $73 |
| Lilly USA, LLC | $62 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180703000130 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 554 | 239 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 314 | 156 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 196 | 196 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 184 | 184 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 154 | 34 | $0 |
Insurance plans in this area (ZIP 75401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Family Practice | TX |
Reviews
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