Mr Jay Daniel Jordan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Salisbury, NC

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Mr Jay Daniel Jordan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salisbury, North Carolina. He graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Medical Park Hospital Llc, Forsyth Memorial Hospital Inc and his current practice location is 612 Mocksville Ave, Salisbury, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 210-5661.

Mr Jay Daniel Jordan is licensed to practice in North Carolina (license number 47466) 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 1457383606.

Contact Information

Mr Jay Daniel Jordan, CRNA
612 Mocksville Ave,
Salisbury, NC 28144-2732
(704) 210-5661
(704) 210-5660

Map and Direction




Provider's Profile

Full NameMr Jay Daniel Jordan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience30 Years
Location612 Mocksville Ave, Salisbury, North Carolina
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:
  • Mr Jay Daniel Jordan graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1457383606
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 10/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840466892
  • Enrollment ID: I20111222000290

Medical Identifiers

Medical identifiers for Mr Jay Daniel Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457383606NPI-NPPES
430044434OtherNCRR MEDICARE
8051110MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 47466 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital
Novant Health Medical Park HospitalWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Park Hospital Llc488059595871
Forsyth Memorial Hospital Inc9537071790549

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. Mr Jay Daniel Jordan allows following entities to bill medicare on his behalf.
Entity NameNovant Health Thomasville Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160205
PECOS PAC ID: 5890605224
Enrollment ID: O20031222000916
Entity NameCarolina Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699723791
PECOS PAC ID: 1456251057
Enrollment ID: O20040115000938
Entity NameMedical Park Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003867516
PECOS PAC ID: 4880595958
Enrollment ID: O20040120000968
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053365817
PECOS PAC ID: 1153231907
Enrollment ID: O20040223001121
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameNovant Health Rowan Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508931544
PECOS PAC ID: 3375452519
Enrollment ID: O20040422001655
Entity NamePiedmont Triad Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467497081
PECOS PAC ID: 8426020025
Enrollment ID: O20040824000312
Entity NameNovant Health Matthews Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184782419
PECOS PAC ID: 6406845247
Enrollment ID: O20051114000445
Entity NamePresbyterian Sameday Surgery Center At Ballantyne Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1215061049
PECOS PAC ID: 4587759949
Enrollment ID: O20070928000739
Entity NamePresbyterian Sameday Surgery Center At Huntersville Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1063641801
PECOS PAC ID: 8426197971
Enrollment ID: O20100521000450
Entity NameCarolina Regional Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891072609
PECOS PAC ID: 5496921769
Enrollment ID: O20120109000406
Entity NameBrunswick Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669725198
PECOS PAC ID: 9335150895
Enrollment ID: O20130903000403
Entity NameNovant Health Kernersville Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1750892659
PECOS PAC ID: 3870858525
Enrollment ID: O20180530000007
Entity NameNovant Health Mint Hill Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063910404
PECOS PAC ID: 8123374394
Enrollment ID: O20181018000540
Entity NameNovant Health Clemmons Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1528521887
PECOS PAC ID: 6103154778
Enrollment ID: O20190820003091

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. Mr Jay Daniel 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
Mr Jay Daniel Jordan, CRNA
4605 Meeting House Ln,
Clemmons, NC 27012-7706

Ph: (336) 778-1879		Mr Jay Daniel Jordan, CRNA
612 Mocksville Ave,
Salisbury, NC 28144-2732

Ph: (704) 210-5661

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Salisbury, NC

Mr. Edward Blaine Bostian, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 612 Mocksville Ave, Salisbury, NC 28144
Phone: 704-210-6965    
Mrs. Kimberly Jo Alexander, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 612 Mocksville Ave, Salisbury, NC 28144
Phone: 704-210-5661    Fax: 704-210-5660
Mrs. Beaulisa Dawn Metcalf, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 612 Mocksville Ave, Salisbury, NC 28144
Phone: 704-210-5661    
Mrs. Patricia Floyd Burke, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 612 Mocksville Ave, Salisbury, NC 28144
Phone: 704-210-5661    Fax: 704-210-5660
Clement Joseph Markarian, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Brenner Ave, Salisbury, NC 28144
Phone: 704-638-7000    
Mrs. Nancy Marinette Rierson, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 612 Mocksville Ave, Salisbury, NC 28144
Phone: 704-210-5000    
Ms. Susan Lynn Kutz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 612 Mocksville Ave, Salisbury, NC 28144
Phone: 704-210-5661    Fax: 704-210-5660

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.