Individual provider Active NPI

Jordan Officer

  • Certified Registered Nurse Anesthetist
  • Iowa City, IA
National Provider Identifier
1740977156
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D185128 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-1616
NPI assigned
Apr 18, 2023
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IA
Certified Registered Nurse Anesthetist 367500000X D185128 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

1273 66TH St
West Des Moines, IA 50266-5769
Phone (515) 473-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916002668 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779087507 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and M Anesthesia LLCGroup PAC ID 2961823596, 18 clinicians
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

1300 37TH St
West Des Moines, IA 50266-1900
Phone (515) 224-4711

5950 University Ave
Suite 180
West Des Moines, IA 50266-8234
Phone (515) 875-9100

990 4TH St SW
Mason City Ambulatory CT LLC
Mason City, IA 50401-2861
Phone (641) 494-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Dallas County Hospital CurrentSince Aug 26, 2025 Accepting new patients
M & M Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Hamilton County Public Hospital CurrentSince Aug 26, 2025 Accepting new patients
Dallas County Hospital Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2025 Accepting new patients
Dallas County Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Sep 23, 2025 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Sep 23, 2025 Accepting new patients
The Iowa Clinic, PC CurrentSince Oct 1, 2025 Accepting new patients
Mason City Ambulatory Surgery Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2025 Accepting new patients
Hamilton County Public Hospital CurrentSince Aug 26, 2025 Accepting new patients
The Iowa Clinic PC CurrentSince Oct 1, 2025 Accepting new patients
Mason City Ambulatory Surgery Center, LLC Past Accepting new patients

Locations

717 Lyon St
Des Moines, IA 50309
Phone (515) 261-4738

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

990 4th St SW
Mason City, IA 50401
Phone (641) 494-2000

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

610 10th St
Perry, IA 50220
Phone (515) 465-3547

1300 37th St
West Des Moines, IA 50266
Phone (515) 224-4711

1455 29th St
West Des Moines, IA 50266
Phone (515) 267-1800

5950 University Ave
Ste 180
West Des Moines, IA 50266
Phone (515) 875-9145

Interoperability endpoints

  • Direct secure messaging: jofficer1213519@direct.unitypoint.org

Organizations & group practices 15

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 15

Hospital & facility affiliations 2

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1740977156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 66TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665769",
            "telephone_number": "515-473-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFICER",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D185128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.