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JORDAN TREDER
NPI 1760170823
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 26, 2023PECOS Enrolled
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 273-8383 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Treder NPPES

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

JORDAN TREDER (NPI 1760170823) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (77836) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760170823
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN TREDER
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341 · (612) 625-9578
Phone(612) 273-8383
Sole ProprietorNo
Enumeration DateApril 26, 2023
Last NPPES UpdateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1760170823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MN · 77836
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
909 FULTON ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Treder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. RONALD ALEXANDER REILKOFF M.D.
Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
EUGENIA SHMIDT MD
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 284-2511
DR. ROBERT ALLEN MCGOVERN III M.D.
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
KIMBERLY EHLERT PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-5341
NUTTAVUT SUMRANSUB M.D.
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-8383
MARY MELTON PHD
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
DR. BRITTANI LAUREN CONWAY M.D.
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 226-2890

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 Treder's NPI number?

The NPI number for Jordan Treder is 1760170823. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Jordan Treder located?

Jordan Treder practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.

What is Jordan Treder'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 Treder enrolled in Medicare?

Yes. Jordan Treder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Treder was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.