JORDAN B WOLFF (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013158807

JORDAN B WOLFF (CRNA) is a healthcare provider. based in Boise, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RNA749 (ID). The NPI Number for JORDAN B WOLFF (CRNA) is 1013158807

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN B WOLFF (CRNA)
NPI
1013158807
Phone
(208) 336-0895
Address
111 W STATE ST
Enumeration Date
9 March 2009
Last Update Date
9 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083735000
Graduation Year
2008 (18 years ago)
PAC ID
2365591823
Group Practice PAC ID
4981661196
Professional Enrollment ID
I20090514000103
Address ID
ID837048205BO8800XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for JORDAN B WOLFF (CRNA)

  • West State Street, Boise, Ada County, Idaho, 83707, United States

    BOISE, ID 837026127

    Phone: (208) 336-0895

    Fax: (208) 338-1796

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090514000103ICertified Registered Nurse Anesthetist (Crna)IDTBD
I20250922003359ICertified Registered Nurse Anesthetist (Crna)PATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1313$0
View full utilization report →

Insurance plans in this area (ZIP 83702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981661196View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)CO
A N E S T H E S I O L O G YID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What unique ID ties claims to JORDAN B WOLFF (CRNA)?
NPI 1013158807 is assigned to JORDAN B WOLFF (CRNA) under the national enumeration system.
Does this profile mean JORDAN B WOLFF (CRNA) is currently active?
Yes — JORDAN B WOLFF (CRNA) appears active in the national provider directory.
What kind of provider is JORDAN B WOLFF (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for JORDAN B WOLFF (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place JORDAN B WOLFF (CRNA)?
The snapshot lists Boise, Idaho for JORDAN B WOLFF (CRNA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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