GRANT THOMAS JORDAN-TAYLOR
NPI 1073816641
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since December 21, 2010PECOS EnrolledAccepts Medicare Assignment
500 HARVARD ST SE, MINNEAPOLIS, MN 55455(612) 229-6713 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grant Thomas Jordan-taylor NPPES

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

GRANT THOMAS JORDAN-TAYLOR (NPI 1073816641) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (86622) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073816641
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGRANT THOMAS JORDAN-TAYLOR
Location Address500 HARVARD ST SEMinneapolis, MN 55455
Mailing Address8 Vincent Ave SMinneapolis, MN 55405-1952 · (612) 229-6713
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 21, 2010
Last NPPES UpdateJune 5, 2018
✔ NPI 1073816641 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 MN · 86622
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.
500 HARVARD ST SE, Minneapolis, MN 55455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grant Thomas Jordan-taylor 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 ID1153506852
PECOS Enrollment IDI20110422000170
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Grant Jordan-taylor reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 671 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Anesthesiology
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 681 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
Anesthesiology
14500 99TH AVE N STE 500
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 226 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

Dietitian, Registered
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Gastroenterology)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Registered Nurse (Critical Care Medicine)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Anesthesiology
500 HARVARD ST SE, UNIVERSITY OF MINNESOTA MEDICAL CENTER
MINNEAPOLIS, MN 55455
Pharmacist
500 HARVARD ST SE, SUITE 3-017
MINNEAPOLIS, MN 55455
Orthopaedic Surgery (Hand Surgery)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Physician Assistant
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Perfusionist
500 HARVARD ST SE
MINNEAPOLIS, MN 55455

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 Grant Jordan-taylor's NPI number?

The NPI number for Grant Jordan-taylor is 1073816641. It was assigned to this individual provider in the NPPES registry on December 21, 2010.

Where is Grant Jordan-taylor located?

Grant Jordan-taylor practices at 500 Harvard St SE, Minneapolis, MN 55455. The listed phone number is (612) 229-6713.

What is Grant Jordan-taylor's specialty?

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

Is Grant Jordan-taylor enrolled in Medicare?

Yes. Grant Jordan-taylor 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.

Which organizations bill Medicare for Grant Jordan-taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grant Jordan-taylor reassigns Medicare benefits to 8 organizations: Fairview Bethesda Hospital (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), University Anesthesia Providers, LLC (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grant Jordan-taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Grant Jordan-taylor affiliated with any hospitals?

According to CMS data, Grant Jordan-taylor is affiliated with M Health Fairview Southdale Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Grant Jordan-taylor was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.