JORDAN KRUSE DO
NPI 1770163537
Student in an Organized Health Care Education/Training Program in Orlando, FL

Q: What is Jordan Kruse's NPI number?

The NPI number for Jordan Kruse is 1770163537. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Q: What is Jordan Kruse's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Kruse was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 14, 2021PECOS Enrolled

2501 N ORANGE AVE STE 235, ORLANDO, FL 32804(407) 303-7331 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Apr 14, 2021 (2 updates tracked since 2021).

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About Jordan Kruse Do NPPES

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

JORDAN KRUSE DO (NPI 1770163537) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770163537

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN KRUSECredential: DO

Location Address2501 N ORANGE AVE STE 235Orlando, FL 32804-4659

Mailing Address2501 N Orange Ave Ste 235Orlando, FL 32804-4659

Phone(407) 303-7331

Sole ProprietorYes

Enumeration DateApril 14, 2021

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1770163537 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

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.

2501 N ORANGE AVE STE 235, Orlando, FL 32804

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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 Kruse Do 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. LIAM DEVANE MD

Student in an Organized Health Care Education/Training Program