TREVOR WILLIAM JORDAN
NPI 1750258653
Nurse Anesthetist, Certified Registered in Oxford, MS
About Trevor William Jordan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TREVOR WILLIAM JORDAN (NPI 1750258653) is an individual nurse anesthetist, certified registered in Oxford, Mississippi, licensed in Mississippi (902009) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Medical Center- Grenada, and is a graduate of Other (2025).
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
Trevor William Jordan 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 Trevor Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 122 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Medical Center- Grenada
Acute Care Hospitals · Grenada, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38655 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OXFORD, MS 38655
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 Trevor Jordan's NPI number?
The NPI number for Trevor Jordan is 1750258653. It was assigned to this individual provider in the NPPES registry on October 23, 2025.
Where is Trevor Jordan located?
Trevor Jordan practices at 2704 W Oxford Loop Ste 117, Oxford, MS 38655. The listed phone number is (662) 550-4299.
What is Trevor Jordan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Trevor Jordan enrolled in Medicare?
Yes. Trevor 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 organization bills Medicare for Trevor Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Jordan reassigns Medicare benefits to Willow Anesthesia Services LLC (Oxford, MS). 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 Trevor Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Trevor Jordan affiliated with any hospitals?
According to CMS data, Trevor Jordan is affiliated with University Of Mississippi Medical Center- Grenada.
When was this NPI record last updated?
The NPPES record for Trevor Jordan was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Trevor William Jordan · NPI 1750258653
Nurse Anesthetist, Certified Registered physician in Oxford, Mississippi. Individual provider, active in the CMS NPPES registry since October 23, 2025.
## Identity
- **NPI:** 1750258653 (Entity type: Individual)
- **Enumerated:** October 23, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 902009 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2704 W OXFORD LOOP STE 117, Oxford, MS 38655-5728
- **Phone:** (662) 550-4299
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Willow Anesthesia Services LLC (NPI 1205169521, Oxford, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750258653) · Data from the CMS NPPES public registry.