JOSEPH JOHN GORDON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104103027

JOSEPH JOHN GORDON (CRNA) is a healthcare provider. based in Edina, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 181776-8 (MN). The NPI Number for JOSEPH JOHN GORDON (CRNA) is 1104103027

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH JOHN GORDON (CRNA)
NPI
1104103027
Phone
Not provided
Address
6401 FRANCE AVE S
Enumeration Date
6 November 2011
Last Update Date
27 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935000
Graduation Year
2011 (15 years ago)
PAC ID
1759557903
Group Practice PAC ID
7315840063
Professional Enrollment ID
I20120117000027
Address ID
MN554264702ST6500XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for JOSEPH JOHN GORDON (CRNA)

  • 6401 FRANCE AVE S

    EDINA, MN 554352104

    Phone:

    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: 2012-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120117000027ICertified Registered Nurse Anesthetist (Crna)MNTBD

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.

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

Insurance plans in this area (ZIP 55435)

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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: 7315840063View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

How do payers reference JOSEPH JOHN GORDON (CRNA)?
For JOSEPH JOHN GORDON (CRNA), use NPI 1104103027 as the unique 10-digit identifier.
Would JOSEPH JOHN GORDON (CRNA) appear as active to a payer?
You can treat JOSEPH JOHN GORDON (CRNA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JOSEPH JOHN GORDON (CRNA)'s focus?
For JOSEPH JOHN GORDON (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSEPH JOHN GORDON (CRNA)?
Travel planning: use Edina, Minnesota as the reference point for JOSEPH JOHN GORDON (CRNA), then confirm.
Can I trust this NPI listing for JOSEPH JOHN GORDON (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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