Jordan Bloom, RN, BSN, APRN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Forest Lake, MN

  1. Home
  2. Nurse Anesthetist - CR
  3. MN
  4. Forest Lake
Jordan Bloom, RN, BSN, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Forest Lake, Minnesota. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Allina Health System and his current practice location is 6362 207th St N, Forest Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 777-0925.

Jordan Bloom is licensed to practice in Tennessee (license number 30535) 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 1851996581.

Contact Information

Jordan Bloom, RN, BSN, APRN, CRNA
6362 207th St N,
Forest Lake, MN 55025-8022
(763) 777-0925
Not Available

Map and Direction




Provider's Profile

Full NameJordan Bloom
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location6362 207th St N, Forest Lake, Minnesota
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:
  • Jordan Bloom graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1851996581
  • Provider Enumeration Date: 12/01/2020
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173911120
  • Enrollment ID: I20241211002328

Medical Identifiers

Medical identifiers for Jordan Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851996581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 30535 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133584

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. Jordan Bloom allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Anesthesia Network Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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. Jordan Bloom 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
Jordan Bloom, RN, BSN, APRN, CRNA
6643 N Hamilton Cir,
Olive Branch, MS 38654-7150

Ph: (763) 777-0925		Jordan Bloom, RN, BSN, APRN, CRNA
6362 207th St N,
Forest Lake, MN 55025-8022

Ph: (763) 777-0925

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Forest Lake, MN


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.