JORDAN EDWARD KACZOR MD
NPI 1740843846
Student in an Organized Health Care Education/Training Program in Duluth, MN
About Jordan Edward Kaczor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN EDWARD KACZOR MD (NPI 1740843846) is an individual student in an organized health care education/training program in Duluth, Minnesota and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of Minnesota Medical School (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jordan Edward Kaczor Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Kaczor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center-Mesabi/ Mesaba Clinics
Acute Care Hospitals · Hibbing, MNSt Lukes Hospital
Acute Care Hospitals · Duluth, MNMedicare 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.
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.
DULUTH, MN 55805
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 Kaczor's NPI number?
The NPI number for Jordan Kaczor is 1740843846. It was assigned to this individual provider in the NPPES registry on April 16, 2019.
Where is Jordan Kaczor located?
Jordan Kaczor practices at 330 N 8th Ave E, Duluth, MN 55805. The listed phone number is (218) 723-1112.
What is Jordan Kaczor's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jordan Kaczor enrolled in Medicare?
Yes. Jordan Kaczor 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 organization bills Medicare for Jordan Kaczor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Kaczor reassigns Medicare benefits to Range Regional Health Services (Hibbing, MN). The 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 Kaczor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jordan Kaczor affiliated with any hospitals?
According to CMS data, Jordan Kaczor is affiliated with University Medical Center-Mesabi/ Mesaba Clinics and St Lukes Hospital.
When was this NPI record last updated?
The NPPES record for Jordan Kaczor was last updated on November 7, 2019. 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.
# Jordan Edward Kaczor, MD · NPI 1740843846
Student in an Organized Health Care Education/Training Program provider in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1740843846 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 330 N 8TH AVE E, Duluth, MN 55805-2024
- **Phone:** (218) 723-1112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Range Regional Health Services (NPI 1356321699, Hibbing, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2019
## Record status
- **NPPES last updated:** November 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1740843846) · Data from the CMS NPPES public registry.