JORDAN FRIED
NPI 1679929624
Nurse Anesthetist, Certified Registered in Fort Sam Houston, TX
About Jordan Fried NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN FRIED (NPI 1679929624) is an individual nurse anesthetist, certified registered in Fort Sam Houston, Texas, licensed in Alaska (169123) and active in the NPI registry since May 2016. He maintains 2 additional practice locations and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Fried 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Fried's NPI number?
The NPI number for Jordan Fried is 1679929624. It was assigned to this individual provider in the NPPES registry on May 9, 2016.
Where is Jordan Fried located?
Jordan Fried practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-7595.
What is Jordan Fried's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jordan Fried enrolled in Medicare?
Yes. Jordan Fried 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.
When was this NPI record last updated?
The NPPES record for Jordan Fried was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jordan Fried · NPI 1679929624
Nurse Anesthetist, Certified Registered physician in Fort Sam Houston, Texas. Individual provider, active in the CMS NPPES registry since May 9, 2016.
## Identity
- **NPI:** 1679929624 (Entity type: Individual)
- **Enumerated:** May 9, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 169123 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234-4504
- **Phone:** (210) 916-7595
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679929624) · Data from the CMS NPPES public registry.