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JORDAN SIMPSON DO
NPI 1114346749
Pediatrics - Neonatal-Perinatal Medicine in Idaho Falls, ID

Active since April 10, 2014PECOS Enrolled
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-6111 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2023, Aug 27, 2020, Jun 30, 2020 (3 updates tracked since 2020).

About Jordan Simpson Do NPPES

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

JORDAN SIMPSON DO (NPI 1114346749) is an individual neonatal-perinatal medicine provider in Idaho Falls, Idaho, licensed in Idaho (O-1399) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114346749
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameJORDAN SIMPSONCredential: DO
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address1041 Villa Vista DrAmmon, ID 83406-1268 · (208) 757-1567
Phone(208) 529-6111
Sole ProprietorNo
Enumeration DateApril 10, 2014
Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1114346749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in ID · O-1399
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3100 CHANNING WAY, Idaho Falls, ID 83404
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14301 W Markham StLittle Rock, AR 72205-7101 · Phone (501) 364-1874
Location 21055 N Curtis RdBoise, ID 83706-1309 · Phone (208) 302-4600 · Fax (208) 302-4655
Location 34300 E Flamingo AveNampa, ID 83687-3138 · Phone (208) 302-4600 · Fax (208) 302-4655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Simpson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jordan Simpson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Regional Medical Center Inc
214 mi
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1649357716 (208) 367-4148

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

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.

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
WALLACE LEONARD ARAVE PT
Physical Therapist
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-7999
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111

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 Simpson's NPI number?

The NPI number for Jordan Simpson is 1114346749. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Jordan Simpson located?

Jordan Simpson practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-6111.

What is Jordan Simpson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jordan Simpson enrolled in Medicare?

Yes. Jordan Simpson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Simpson reassigns Medicare benefits to Saint Alphonsus Regional Medical Center Inc (Boise, ID). The 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 Jordan Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Simpson was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.