JORDAN IDSO CRNA
NPI 1023555174
Nurse Anesthetist, Certified Registered in Fargo, ND

Active since January 27, 2017Accepts Medicare Assignment
82.99/100
CMS Quality Rating
801 BROADWAY N, FARGO, ND 58102(701) 234-2868 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2022, Jan 27, 2017 (2 updates tracked since 2017).

About Jordan Idso Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN IDSO CRNA (NPI 1023555174) is an individual nurse anesthetist, certified registered in Fargo, North Dakota, licensed in North Dakota (R36530) and active in the NPI registry since January 2017. He is affiliated with Sanford Medical Center Fargo and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023555174
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJORDAN IDSOCredential: CRNA
Location Address801 BROADWAY NFargo, ND 58102-3641
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 27, 2017
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
NPI 1023555174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in ND · R36530
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

801 BROADWAY N, Fargo, ND 58102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Idso Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527342609
PECOS Enrollment IDI20220624002534

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
801 BROADWAY N
FARGO, ND 58102
Nurse Anesthetist, Certified Registered
801 BROADWAY N
FARGO, ND 58102
Hospice Care, Community Based
801 BROADWAY N
FARGO, ND 58102
Family Medicine
801 BROADWAY N
FARGO, ND 58102
Internal Medicine (Infectious Disease)
801 BROADWAY N
FARGO, ND 58102
Internal Medicine (Gastroenterology)
801 BROADWAY N
FARGO, ND 58102
Pediatrics
801 BROADWAY N
FARGO, ND 58102
Internal Medicine
801 BROADWAY N
FARGO, ND 58102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Idso's NPI number?

The NPI number for Jordan Idso is 1023555174. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Jordan Idso located?

Jordan Idso practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2868.

What is Jordan Idso's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jordan Idso enrolled in Medicare?

Yes. Jordan Idso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Idso accept?

Health plans from Blue Cross Blue Shield of North Dakota list Jordan Idso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Idso affiliated with any hospitals?

According to CMS data, Jordan Idso is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Jordan Idso was last updated on May 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.