DR. JORDYN J KREUTZFELDT MD
NPI 1356962260
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Q: What is Jordyn Kreutzfeldt's NPI number?

The NPI number for Jordyn Kreutzfeldt is 1356962260. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Q: What is Jordyn Kreutzfeldt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 01, 2020PECOS Enrolled

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2023, Jun 1, 2023, Jun 17, 2020 (3 updates tracked since 2020).

On this page

About Dr. Jordyn J Kreutzfeldt Md NPPES

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

DR. JORDYN J KREUTZFELDT MD (NPI 1356962260) is an individual student in an organized health care education/training program in La Crosse, Wisconsin, licensed in Wisconsin (81893) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1356962260

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JORDYN J KREUTZFELDTCredential: MD

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Enumeration DateMay 1, 2020

Last NPPES UpdateJune 8, 20233 updates tracked since enumeration

NPPES CertifiedJune 8, 2023

✔ NPI 1356962260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Licenses✔ Licensed in WI · 81893✔ Licensed in AZ · R78045

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1836 SOUTH AVE, La Crosse, WI 54601

Open in Google Maps ↗

Secondary Practice Location 1

Location 1Kerith Lisa Program Manager, 1501 N Campbell AveTucson, AZ 85724-5040 · Phone (520) 626-2761

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordyn J Kreutzfeldt Md 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.

Leave this field empty