Jordan Todd Wiedemann, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

557837 Issued in KS

Practice address

929 N Saint Francis Ave
Wichita, KS 67214-3821

Phone

(316) 268-5000

Fax

(316) 291-4272

NPI assigned

Jul 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Baylor College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates LLPGroup PAC ID 4587631064, 17 clinicians

Premier Anesthesia of Washington, PCGroup PAC ID 1153823083, 37 clinicians

Anesthesia Consulting Services, PAGroup PAC ID 7214849710, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manhattan Surgical Hospital LLC Hospital, Manhattan, KS, CCN 170190
• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142
• Salina Regional Health Center Hospital, Salina, KS, CCN 170012
• Clay County Medical Center Hospital, Clay Center, KS, CCN 171371

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwiedemann169391@stormontvaildirect.org

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.

• Anesthesia Associates LLP

  • Certified Registered Nurse Anesthetist
  • Manhattan, KS
  • NPI 1043285935

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Consulting Services, PA

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1518070416
  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Washington, PC

  • Anesthesiology Physician
  • Salina, KS
  • NPI 1194617043

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Central Kansas, P.a.

  • Anesthesiology Physician
  • Salina, KS
  • NPI 1164494084
  Medicare reassignment NPD
• Anesthesia Associates of Topeka PA

  • Anesthesiology Physician
  • Topeka, KS
  • NPI 1518933837
  Medicare reassignment NPD

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

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  Care Compare affiliation
• Clay County Medical Center

  • Critical Access Hospital
  • Clay Center, KS
  • NPI 1265485817
  Care Compare affiliation
• Manhattan Surgical Hospital LLC

  • Special Hospital
  • Manhattan, KS
  • NPI 1629053228
  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1659981017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672012897",
            "telephone_number": "844-468-9498",
            "fax_number": "855-630-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5000",
            "fax_number": "316-291-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMANN",
        "first_name": "JORDAN",
        "middle_name": "TODD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "135451",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "TMP159804",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Wiebe, RN BSN
• Harold Wiebe, LSCSW
• Joanna Wiebe, SLP
• Lisa S. Wiebe
• McKayla Ann Wieczorek
• Megan L Wiedenmann, DPT
• Benjamin Wiens, LMSW
• Katherine Leigh Wieser, COTA
• Brooke Hackmeier Wiest, MSPT
• Matthew David Wieters, DO

• Certified Registered Nurse Anesthetist in Wichita, KS
• Providers in Wichita, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.