MR. JAY DANIEL JORDAN CRNA
NPI 1457383606
Nurse Anesthetist, Certified Registered in Salisbury, NC

Active since July 07, 2006Accepts Medicare Assignment
612 MOCKSVILLE AVE, SALISBURY, NC 28144(704) 210-5661(704) 210-5660 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jay Daniel Jordan Crna NPPES

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

MR. JAY DANIEL JORDAN CRNA (NPI 1457383606) is an individual nurse anesthetist, certified registered in Salisbury, North Carolina, licensed in North Carolina (47466) and active in the NPI registry since July 2006. He is affiliated with Novant Health Forsyth Medical Center and is a graduate of Other (1996).

NPPES Registry Identity

NPI1457383606
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JAY DANIEL JORDANCredential: CRNA
Location Address612 MOCKSVILLE AVESalisbury, NC 28144-2732
Mailing Address4605 Meeting House LnClemmons, NC 27012-7706 · (336) 778-1879
Fax(704) 210-5660
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1457383606 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 NC · 47466
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.
612 MOCKSVILLE AVE, Salisbury, NC 28144

Other Identifiers 2

Medicaid8051110NC
Other430044434NC · Rr Medicare

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

Mr. Jay Daniel Jordan Crna 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 ID840466892
PECOS Enrollment IDI20111222000290

Medicare Billing Reassignments

15

Medicare enrollment records show Jay Jordan reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
612 MOCKSVILLE AVE.
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 686 clinicians in this Medicare group
Family Medicine
110 W MEDICAL PARK DR
Lexington, NC 27292
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Hematology & Oncology
170 MEDICAL PARK RD STE 101
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Internal Medicine
7144 VILLAGE MEDICAL CIR
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 719 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7210 VILLAGE MEDICAL CIRCEL, STE 235
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group
Anesthesiology
646 HARTNESS ROAD
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 194 clinicians in this Medicare group
Anesthesiology
145 KIMEL PARK DR, SUITE 120
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 119 clinicians in this Medicare group
Ambulatory Surgical
10030 GILEAD ROAD
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 545 clinicians in this Medicare group
Specialist
1950 S HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 579 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Nurse Practitioner
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Student in an Organized Health Care Education/Training Program
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Nurse Anesthetist, Certified Registered
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Counselor (Mental Health)
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144

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 Jay Jordan's NPI number?

The NPI number for Jay Jordan is 1457383606. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Jay Jordan located?

Jay Jordan practices at 612 Mocksville Ave, Salisbury, NC 28144. The listed phone number is (704) 210-5661.

What is Jay Jordan's specialty?

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

Is Jay Jordan enrolled in Medicare?

Yes. Jay Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jay Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Jordan reassigns Medicare benefits to 15 organizations: Novant Health Rowan Medical Center LLC (Salisbury, NC), Forsyth Memorial Hospital Inc (Lexington, NC), The Presbyterian Hospital (Mooresville, NC), Novant Health Thomasville Medical Center, LLC (Clemmons, NC), Novant Health Clemmons Outpatient Surgery, LLC (Clemmons, NC) and 10 more organizations, listed in the Medicare section above. 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 Jay Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jay Jordan affiliated with any hospitals?

According to CMS data, Jay Jordan is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Jay Jordan was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.