Sue-Ellen Jordan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

72862 Issued in NC

Practice address

810 Fairgrove Church Rd
Hickory, NC 28602-9617

Phone

(828) 326-3809

Fax

(828) 326-3371

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Norman Anesthesia AssociatesGroup PAC ID 1951396126, 25 clinicians

Morganton Anesthesia Partners, PLLCGroup PAC ID 7416357801, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075
• Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Lake Norman Anesthesia Associates

  • Specialist
  • Mooresville, NC
  • NPI 1386753457
  Medicare reassignment Care Compare group NPD
• Morganton Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Morganton, NC
  • NPI 1346828878
  Medicare reassignment Care Compare group NPD
• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519
  Medicare reassignment NPD
• Western Carolina Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Hickory, NC
  • NPI 1326669508

  Anesthesiology

  Medicare reassignment NPD
• Morganton Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Valdese, NC
  • NPI 1831770536
  NPD

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

• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Rutherford College, NC
  • NPI 1306821798
  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Valdese, NC
  • NPI 1487707964

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Morganton, NC
  • NPI 1700860491
  Care Compare affiliation
• Duke Health Lake Norman Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Mooresville, NC
  • NPI 1114731064
  Care Compare affiliation

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1407958614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MEDICAL PARK RD",
            "address_2": "STE 108",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178529",
            "telephone_number": "704-662-0877",
            "fax_number": "704-662-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029617",
            "telephone_number": "828-326-3809",
            "fax_number": "828-326-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SUE-ELLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "72862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jones, NP
• Kenya Jones
• Megan Jones, RN
• Nickolas Kai Jones, PHARMD
• Susan Kimberly Jones
• Ann Kathryn Joslyn, M.D.
• JS Garmon Enterprises Inc
• Juanita Brown, PLLC
• Jaimily Justice, M. A.
• K Millinor Counseling PLLC

• Certified Registered Nurse Anesthetist in Hickory, NC
• Providers in Hickory, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.