Jacob I Jordan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Wichita Falls, TX

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Jacob I Jordan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wichita Falls, Texas. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice County Of Clay, Wilbarger County Hospital District, Electra Hospital District, Summit Pain And Wellness, Pllc and his current practice location is 501 Midwestern Pkwy E, Wichita Falls, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 766-8807.

Jacob I Jordan is licensed to practice in Texas (license number 758186) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598002776.

Contact Information

Jacob I Jordan, CRNA
501 Midwestern Pkwy E,
Wichita Falls, TX 76302-2302
(940) 766-8807
(833) 563-0799

Map and Direction




Provider's Profile

Full NameJacob I Jordan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location501 Midwestern Pkwy E, Wichita Falls, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob I Jordan graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1598002776
  • Provider Enumeration Date: 01/09/2013
  • Last Update Date: 07/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7810141322
  • Enrollment ID: I20130211000301

Medical Identifiers

Medical identifiers for Jacob I Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598002776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 758186 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clay County Memorial HospitalHenrietta, TXHospital
Wilbarger General HospitalVernon, TXHospital
Electra Memorial HospitalElectra, TXHospital
Hardeman County Memorial HospitalQuanah, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Clay49816897832
Wilbarger County Hospital District54966637269
Electra Hospital District65077694947
Summit Pain And Wellness, Pllc73154751833

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. Jacob I Jordan allows following entities to bill medicare on his behalf.
Entity NameCastro County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891828059
PECOS PAC ID: 3870404064
Enrollment ID: O20040309001224
Entity NameDeaf Smith County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568454403
PECOS PAC ID: 8123923497
Enrollment ID: O20040510000475
Entity NameBaylor County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194893263
PECOS PAC ID: 6103739222
Enrollment ID: O20040512000980
Entity NameWilbarger County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316931835
PECOS PAC ID: 5496663726
Enrollment ID: O20040618000198
Entity NameCounty Of Clay
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639340748
PECOS PAC ID: 4981689783
Enrollment ID: O20040701001413
Entity NameElectra Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417051806
PECOS PAC ID: 6507769494
Enrollment ID: O20040802000308
Entity NameNocona Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972684827
PECOS PAC ID: 5395786180
Enrollment ID: O20050523000331
Entity NameGpch Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841497153
PECOS PAC ID: 0042303232
Enrollment ID: O20090311000280
Entity NameOlney-hamilton Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801158787
PECOS PAC ID: 9133029077
Enrollment ID: O20120727000642
Entity NameKaufman Orthopedic Pain Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013300862
PECOS PAC ID: 6507186400
Enrollment ID: O20150515001916
Entity NameGenesis Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174974133
PECOS PAC ID: 1557658135
Enrollment ID: O20160927000788
Entity NameTexas Anesthesia Partners, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144673468
PECOS PAC ID: 3870879828
Enrollment ID: O20170406000406
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20180608000439
Entity NameWichita Falls Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639636210
PECOS PAC ID: 7012259260
Enrollment ID: O20190508002236
Entity NameSummit Pain And Wellness, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144063124
PECOS PAC ID: 7315475183
Enrollment ID: O20250107001641

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. Jacob I 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
Jacob I Jordan, CRNA
501 Midwestern Pkwy E,
Wichita Falls, TX 76302-2302

Ph: (940) 766-8807		Jacob I Jordan, CRNA
501 Midwestern Pkwy E,
Wichita Falls, TX 76302-2302

Ph: (940) 766-8807

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Wichita Falls, TX

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Harley Michelle Dowdy, CRNA
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Mr. Joseph Peter Mozur Iii, C.R.N.A.
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Practice Location: 1600 11th St, Wichita Falls, TX 76301
Phone: 940-764-7000    

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.