JORDAN BLOOM RN, BSN, APRN, CRNA
NPI 1851996581
Nurse Anesthetist, Certified Registered in Forest Lake, MN
About Jordan Bloom Rn, Bsn, Aprn, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN BLOOM RN, BSN, APRN, CRNA (NPI 1851996581) is an individual nurse anesthetist, certified registered in Forest Lake, Minnesota, licensed in Tennessee (30535) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2021).
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 Bloom Rn, Bsn, Aprn, Crna 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 Reassignments
4Medicare enrollment records show Jordan Bloom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Forest Lake, MN 55025
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: American Anesthesiology Of Tennessee PC
- 959 clinicians in this Medicare group
Melville, NY 11747
- Reassigned Medicare billing, Mississippi enrollment
- 54 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Bloom's NPI number?
The NPI number for Jordan Bloom is 1851996581. It was assigned to this individual provider in the NPPES registry on December 1, 2020.
Where is Jordan Bloom located?
Jordan Bloom practices at 6362 207th St N, Forest Lake, MN 55025. The listed phone number is (763) 777-0925.
What is Jordan Bloom's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jordan Bloom enrolled in Medicare?
Yes. Jordan Bloom 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 organizations bill Medicare for Jordan Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Bloom reassigns Medicare benefits to 4 organizations: Allina Health System (Forest Lake, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN), American Anesthesiology Of Tennessee, P.C. (Knoxville, TN) and American Anesthesiology Of Mississippi LLC (Melville, NY). Each 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 Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jordan Bloom affiliated with any hospitals?
According to CMS data, Jordan Bloom is affiliated with Abbott Northwestern Hospital.
When was this NPI record last updated?
The NPPES record for Jordan Bloom was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Bloom, RN, BSN, APRN, CRNA · NPI 1851996581
Nurse Anesthetist, Certified Registered physician in Forest Lake, Minnesota. Individual provider, active in the CMS NPPES registry since December 1, 2020.
## Identity
- **NPI:** 1851996581 (Entity type: Individual)
- **Enumerated:** December 1, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 30535 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 6362 207TH ST N, Forest Lake, MN 55025-8022
- **Phone:** (763) 777-0925
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1447556261, Forest Lake, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); American Anesthesiology Of Tennessee, P.C. (NPI 1245279777, Knoxville, TN); American Anesthesiology Of Mississippi LLC (NPI 1023723558, Melville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1851996581) · Data from the CMS NPPES public registry.