Individual provider Active NPI

Joshua E. Jordan, CRNA

  • Certified Registered Nurse Anesthetist
  • Sunrise, FL
National Provider Identifier
1437253978
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
694708 Issued in TX
Practice address
1613 NW 136TH Ave
#200
Sunrise, FL 33323-2853
Phone
(954) 838-2371
Fax
(954) 851-1758
NPI assigned
Sep 12, 2006
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 694708 TX Primary

Addresses

Primary practice location

1613 NW 136TH Ave
#200
Sunrise, FL 33323-2853

Mailing address

45 NE Loop 410
Ste 900
San Antonio, TX 78216-5831
Phone (210) 375-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080424000255 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820176324 Reassigns benefits to 9 organizations
I20250505003208 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820176324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Anesthesia PLLCGroup PAC ID 9133431935, 19 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
MCH Professional Care Hospital BasedGroup PAC ID 1557535127, 81 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 226-1251

10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000

1900 N 14TH St
Ponca City, OK 74601-2035
Phone (888) 383-7028

305 S 5TH St
Enid, OK 73701-5832
Phone (580) 249-3788

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
72.52
Improvement activities
40
Cost
81.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
694708TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Digestive Health Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 12, 2020 Accepting new patients
MCH Professional Care Hospital Based CurrentSince Apr 1, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
County of Ward CurrentSince Dec 1, 2024 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince May 31, 2022 Accepting new patients
Wichita Falls Anesthesia PLLC CurrentSince May 13, 2024 Accepting new patients
County of Ward Current Accepting new patients
County of Ward Current Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Titan Anesthesia Associates LLC PastSince May 3, 2009 Accepting new patients
Comprehensive Pain Management, PA PastSince Mar 20, 2022 Accepting new patients
Clinical Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered PastSince Oct 16, 2022 Accepting new patients

Locations

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

6999 McPherson Rd
Ste 219
Laredo, TX 78041
Phone (956) 728-0030

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1437253978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410",
            "address_2": "STE 900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165831",
            "telephone_number": "210-375-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 NW 136TH AVE",
            "address_2": "#200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JOSHUA",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "694708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.