Jordan Katsumi Kruse, RN, FNP - Nurse Practitioner in Willits, CA

Jordan Katsumi Kruse, RN, FNP is a Nurse Practitioner - Primary Care based in Willits, California. Jordan Katsumi Kruse is licensed to practice in California (license number 95030155) and his current practice location is 1245 S Main St, Willits, California. He can be reached at his office (for appointments etc.) via phone at (760) 496-8102.

NPI number for Jordan Katsumi Kruse is 1154204378 and his current mailing address is 31262 Pudding Creek Rd Unit B, Fort Bragg, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154204378.

Contact Information

Jordan Katsumi Kruse, RN, FNP
1245 S Main St,
Willits, CA 95490-4305
(760) 496-8102
Not Available

Map and Direction




Provider's Profile

Full NameJordan Katsumi Kruse
GenderMale
SpecialityNurse Practitioner - Primary Care
Location1245 S Main St, Willits, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154204378
  • Provider Enumeration Date: 07/26/2025
  • Last Update Date: 07/26/2025

Medical Identifiers

Medical identifiers for Jordan Katsumi Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154204378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 95135914 (California)Secondary
363LP2300XNurse Practitioner - Primary Care 95030155 (California)Primary

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 Katsumi Kruse is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Katsumi Kruse, RN, FNP
31262 Pudding Creek Rd Unit B,
Fort Bragg, CA 95437-8155

Ph: (760) 496-8102
Jordan Katsumi Kruse, RN, FNP
1245 S Main St,
Willits, CA 95490-4305

Ph: (760) 496-8102

Reviews and Comments


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