Individual provider Active NPI

Corinne E Jordan, M.D.

  • Surgery Physician
  • New Ulm, MN
National Provider Identifier
1528292729
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
51954 Issued in MN
Practice address
1324 5TH North St
New Ulm, MN 56073
Phone
(507) 217-5400
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 51954 MN Primary

Addresses

Primary practice location

1324 5TH North St
New Ulm, MN 56073

Mailing address

1324 5TH North St
New Ulm, MN 56073-1514
Phone (507) 217-5400

Other practice location 1

1324 5th North St
New Ulm, MN 56073
Phone (507) 217-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091119000588 MN Practitioner - General Surgery 7810036415 Reassigns benefits to 1 organization
I20190108000335 WI Practitioner - General Surgery 7810036415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Icahn School of Medicine at Mount Sinai, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

1324 5TH St N
New Ulm, MN 56073-1514
Phone (507) 217-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51954MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Dec 14, 2018 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 14, 2018 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince May 13, 2019 Accepting new patients
Allina Health System Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

510 N Terrace St
Janesville, WI 53548
Phone (608) 756-6869

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: cjordan99475@excellian.direct.allina.com

Organizations & group practices 5

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.

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1528292729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 5TH NORTH ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731514",
            "telephone_number": "507-217-5400",
            "fax_number": "507-217-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 5TH NORTH ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "56073",
            "telephone_number": "507-217-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 5th North St",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "56073",
            "country_code": "US",
            "telephone_number": "507-217-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CORINNE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "51954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.