JORDAN YOUNG GUIDRY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700521002
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
Provider Addresses for JORDAN YOUNG GUIDRY (CRNA)
2253 W Mason St
Green Bay, WI 543034706
Phone: (877) 229-2273
Fax: (920) 288-4863
Type: Location
1500 Arbor Way
Kaukauna, WI 541307305
Phone: (877) 229-2273
Fax: (920) 288-4863
Type: Location
102 HAWKEYE CT APT 212
IOWA CITY, IA 522462851
Phone: (262) 365-3027
Type: Mailing
200 HAWKINS DRIVE
IOWA CITY, IA 52242
Phone: (844) 280-0777
Type: Location
1035 KEPLER DR
GREEN BAY, WI 543118320
Phone: (920) 490-9046
Fax: (920) 405-8005
Type: Mailing
2845 GREENBRIER RD
GREEN BAY, WI 543116519
Phone: (877) 229-0273
Fax: (920) 288-4863
Type: Location
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: 2024-07-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240725001749 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
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.
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 54303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | WI | |
| O P T O M E T R Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Emergency Medicine | WI | |
| Plastic And Reconstructive Surgery | WI | |
| Physician Assistant | WI | |
| O P H T H A L M O L O G Y | WI | |
| Diagnostic Radiology | WI |
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