JORDAN ANN WIEDMANN PA-C
NPI 1750908455
Physician Assistant in Fargo, ND

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment
4040 42ND ST S STE N, FARGO, ND 58104(701) 543-5533 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2024, Jun 29, 2020 (2 updates tracked since 2020).

About Jordan Ann Wiedmann Pa-c NPPES

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

JORDAN ANN WIEDMANN PA-C (NPI 1750908455) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (1174572) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750908455
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN ANN WIEDMANNCredential: PA-C
Location Address4040 42ND ST S STE NFargo, ND 58104-4352
Mailing Address2822 2nd St NFargo, ND 58102-1606 · (701) 543-5533
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 29, 2020
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1750908455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ND · 1174572
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4040 42ND ST S STE N, Fargo, ND 58104

Accepted Insurance

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 Ann Wiedmann Pa-c 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 ID4688087125
PECOS Enrollment IDI20201230001708
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
113 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
4040 42ND ST S STE N
FARGO, ND 58104

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 Wiedmann's NPI number?

The NPI number for Jordan Wiedmann is 1750908455. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Jordan Wiedmann located?

Jordan Wiedmann practices at 4040 42nd St S Ste N, Fargo, ND 58104. The listed phone number is (701) 543-5533.

What is Jordan Wiedmann's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Wiedmann enrolled in Medicare?

Yes. Jordan Wiedmann 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.

What insurance does Jordan Wiedmann accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Jordan Wiedmann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Wiedmann was last updated on December 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.