JORDAN AVERITT WHITE (NP-C) – Family Nurse Practitioner, NPI 1912368275

JORDAN AVERITT WHITE (NP-C) is a healthcare provider. based in Roanoke, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 0024173379 (VA). The NPI Number for JORDAN AVERITT WHITE (NP-C) is 1912368275

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN AVERITT WHITE (NP-C)
NPI
1912368275
Phone
(540) 725-3060
Address
5303 INDIAN GRAVE RD
Enumeration Date
15 March 2016
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407257800
Graduation Year
2016 (10 years ago)
PAC ID
6305137274
Group Practice PAC ID
5890607253
Professional Enrollment ID
I20160623001552
Address ID
VA240183658RO3707XSWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for JORDAN AVERITT WHITE (NP-C)

  • 5303 INDIAN GRAVE RD

    ROANOKE, VA 240189107

    Phone: (540) 725-3060

    Fax: (540) 772-4948

    Type: Location

  • 2000 HEALTH PARK DR FL HP2

    BRENTWOOD, TN 370274525

    Phone: (615) 373-7600

    Fax: (877) 767-2310

    Type: Mailing

  • 150 Market Ridge Ln

    Daleville, VA 240833258

    Phone: (540) 966-0400

    Type: Location

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5715

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Novo Nordisk Inc ($92).

Total Amount

$92

General + Research + Ownership

Payments

1

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$92
View all Open Payments →|Open Payments Risk Radar →

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: 2016-06-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160623001552INurse PractitionerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes365249$0
99214Established patient office or other outpatient visit, 30-39 minutes200141$0
81003Automated urinalysis test3834$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza3430$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3030$0
View full utilization report →

Insurance plans in this area (ZIP 24018)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890607253View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JORDAN AVERITT WHITE (NP-C)?
The federal identifier for JORDAN AVERITT WHITE (NP-C) is NPI 1912368275.
Is JORDAN AVERITT WHITE (NP-C)'s NPI currently valid?
The extract we use shows JORDAN AVERITT WHITE (NP-C) as active.
Does JORDAN AVERITT WHITE (NP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JORDAN AVERITT WHITE (NP-C). Clinical services aligned with this taxonomy classification.
Where does public data place JORDAN AVERITT WHITE (NP-C)?
The snapshot lists Roanoke, Virginia for JORDAN AVERITT WHITE (NP-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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