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JORDAN THOMAS BOZZO
NPI 1437763737
Nurse Anesthetist, Certified Registered in Grand Blanc, MI

Active since September 03, 2020
86.01/100
CMS Quality Rating
1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5000 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2020, Sep 3, 2020 (2 updates tracked since 2020).

About Jordan Thomas Bozzo NPPES

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

JORDAN THOMAS BOZZO (NPI 1437763737) is an individual nurse anesthetist, certified registered in Grand Blanc, Michigan, licensed in Michigan (4704304246) and active in the NPI registry since September 2020. He is affiliated with Beaumont Hospital Royal Oak and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437763737
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJORDAN THOMAS BOZZO
Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065
Mailing Address7408 Westbury BlvdWest Bloomfield, MI 48322-2816 · (734) 624-7642
Phone(810) 606-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 3, 2020
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1437763737 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 MI · 4704304246
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.
1 GENESYS PKWY, Grand Blanc, MI 48439
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7517386394
PECOS Enrollment IDI20200928002382

Medicare Billing Reassignments

2

Medicare enrollment records show Jordan Bozzo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health Genesys Hospital
0.1 mi
Nurse Anesthetist, Certified Registered
1 GENESYS PKWY, DEPARTMENT OF ANESTHESIA
Grand Blanc, MI 48439
  • Reassigned Medicare billing, Michigan enrollment
  • 154 clinicians in this Medicare group
NPI 1558517367 (810) 606-5000
Northstar Anesthesia Of Michigan III PLLC
1,001 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

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

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

ILONA CROWDER COTA/L
Occupational Therapy Assistant
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (877) 252-4469
DR. TARA STONE MD, MPH
Emergency Medicine
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (810) 606-5000
ART OF RADIOLOGY IMAGING ASSOCIATES, PLLC
Radiology (Diagnostic Radiology)
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (248) 308-2745
ERICA MA
Family Medicine
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (810) 606-5000
YONG S CHUNG M.D.
Anesthesiology
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (810) 606-6499
KARA KALINOWSKI
Nurse Anesthetist, Certified Registered
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (810) 341-3971
MICHAEL BRIGGS DO
Emergency Medicine (Emergency Medical Services)
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (810) 606-6137
JORDAN SPENCER MCCOY D.O.
Orthopaedic Surgery
1 GENESYS PKWY
GRAND BLANC, MI 48439
Genesee County (810) 606-7392

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 Bozzo's NPI number?

The NPI number for Jordan Bozzo is 1437763737. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Jordan Bozzo located?

Jordan Bozzo practices at 1 Genesys Pkwy, Grand Blanc, MI 48439. The listed phone number is (810) 606-5000.

What is Jordan Bozzo's specialty?

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

Is Jordan Bozzo enrolled in Medicare?

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

Which organizations bill Medicare for Jordan Bozzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Bozzo reassigns Medicare benefits to 2 organizations: Henry Ford Health Genesys Hospital (Grand Blanc, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Jordan Bozzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jordan Bozzo affiliated with any hospitals?

According to CMS data, Jordan Bozzo is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Jordan Bozzo was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.