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

Q: 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.

Q: What is Jordan Simpson's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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.

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

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Medicare Participation & PECOS CMS

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

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.

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