Jon Jordan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Providence, RI

Jon Jordan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Narragansett Bay Anesthesia Llc and his current practice location is 593 Eddy Street, Davol 129, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4933.

Jon Jordan is licensed to practice in Rhode Island (license number RNA36708) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508180613.

Contact Information

Jon Jordan, CRNA
593 Eddy Street, Davol 129,
Providence, RI 02903-4923
(401) 444-4933
(401) 444-5090

Map and Direction




Provider's Profile

Full NameJon Jordan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location593 Eddy Street, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jon Jordan graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1508180613
  • Provider Enumeration Date: 03/18/2010
  • Last Update Date: 10/02/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5294867024
  • Enrollment ID: I20100714000776

Medical Identifiers

Medical identifiers for Jon Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508180613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RNA36708 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Our Lady Of Fatima HospitalNorth providence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Narragansett Bay Anesthesia Llc5991774929109

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jon Jordan allows following entities to bill medicare on his behalf.
Entity NameNarragansett Bay Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861445728
PECOS PAC ID: 5991774929
Enrollment ID: O20040928000003

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jon Jordan, CRNA
One Virginia Avenue, Suite 201,
Providence, RI 02905

Ph: (401) 490-0916
Jon Jordan, CRNA
593 Eddy Street, Davol 129,
Providence, RI 02903-4923

Ph: (401) 444-4933

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Peter W Wolferseder, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Marie A Mills, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Beth Vanpraag, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Paulette Champion, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Angela Thomas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Garrick Mark Whitlock, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 401-456-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.