DR. JORDAN ANDERSON DO
NPI 1275107377
Anesthesiology in Ardmore, OK

Q: What is Jordan Anderson's NPI number?

The NPI number for Jordan Anderson is 1275107377. It was assigned to this individual provider in the NPPES registry on May 14, 2021. The provider is also known as Jordan Scott Anderson Do.

Q: What is Jordan Anderson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Anderson was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 May 14, 2021PECOS EnrolledAccepts Medicare Assignment

1011 14TH AVE NW, ARDMORE, OK 73401(580) 226-1251 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Jul 6, 2026, Dec 4, 2024 and 2 more (5 updates tracked since 2021).

On this page

About Dr. Jordan Anderson Do NPPES

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

DR. JORDAN ANDERSON DO (NPI 1275107377) is an individual anesthesiology provider in Ardmore, Oklahoma, licensed in Texas (V1011) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275107377

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. JORDAN ANDERSONCredential: DO

Location Address1011 14TH AVE NWArdmore, OK 73401-1828

Mailing AddressPo Box 21228, Dept 99Tulsa, OK 74121-1228 · (580) 226-1251

Phone(580) 226-1251

Sole ProprietorYes

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2022

Enumeration DateMay 14, 2021

Last NPPES UpdateAugust 5, 20265 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1275107377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in TX · V1011✔ Licensed in OK · 9524

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1011 14TH AVE NW, Ardmore, OK 73401

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Other Names 1

Other Name (5)Jordan Scott Anderson Do

Secondary Practice Locations 2

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 582-1972

Location 2546 N Kegley RdTemple, TX 76502-4069 · Phone (254) 215-0900 · Fax (254) 215-0958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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

Dr. Jordan Anderson Do 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 ID7214314475

PECOS Enrollment IDI20260706003333

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 Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Plains Anesthesia, PLLC

Same address

Anesthesiology

1011 14TH AVE NW
Ardmore, OK 73401

Reassigned Medicare billing, Oklahoma enrollment
28 clinicians in this Medicare group

NPI 1285020362 (580) 226-1251

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.

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370047

Location1011 14th Ave NWArdmore, OK 73401 · Carter County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

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.

BETHANY CLUTTS DO

Surgery