DAVID WILLIS JORDAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083684559

DAVID WILLIS JORDAN (CRNA) is a healthcare provider. based in Iola, Kansas. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 54054 (KS). The NPI Number for DAVID WILLIS JORDAN (CRNA) is 1083684559

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WILLIS JORDAN (CRNA)
NPI
1083684559
Phone
(620) 365-1000
Address
101 SOUTH FIRST STREET
Enumeration Date
25 January 2006
Last Update Date
12 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202212300
Graduation Year
1973 (53 years ago)
PAC ID
8729053145
Group Practice PAC ID
9537127659
Professional Enrollment ID
I20040830000670
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DAVID WILLIS JORDAN (CRNA)

  • 101 SOUTH FIRST STREET

    IOLA, KS 66749

    Phone: (620) 365-1000

    Type: Location

  • PO BOX 388

    NEWTON, KS 671140388

    Phone: (316) 281-3700

    Fax: (316) 282-4322

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66749)

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Provider's Procedures

DAVID WILLIS JORDAN (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETKS00142Anesthesia for lens surgery2218

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: 9537127659View full group profile
NameSpecialtyState
MR. RONALD ALTMAN (CRNA)
-KS
MR. BRENT CASAD (CRNA)
-KS

Reviews

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Frequently asked questions

Can I cross-check DAVID WILLIS JORDAN (CRNA) using NPI 1083684559?
NPI 1083684559 belongs to DAVID WILLIS JORDAN (CRNA); compare other details if you need extra assurance.
Would DAVID WILLIS JORDAN (CRNA) appear as active to a payer?
You can treat DAVID WILLIS JORDAN (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DAVID WILLIS JORDAN (CRNA)?
DAVID WILLIS JORDAN (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is DAVID WILLIS JORDAN (CRNA) located near Iola?
DAVID WILLIS JORDAN (CRNA) currently maps to Iola, Kansas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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