Doctor profile · Federal record

Dr. Jordan Bloom, RN, BSN, APRN, CRNA

Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Forest Lake, MN

  • NPI 1851996581
  • Accepts Medicare
  • 5 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6362 207Th St N
Forest Lake, MN 550258022
(763) 777-0925
Mailing address
6643 N Hamilton Cir
Olive Branch, MS 386547150

Credentials & registration

NPPES · NUCC
NPI registered
December 2020 — 6 yrs on file
Profile last updated
September 30, 2021
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
367500000X — NUCC code
State license (1)
Tennessee #30535

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1851996581. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
40
Distinct HCPCS
3
Medicare allowed
$4,549
HCPCS Description Services Patients Avg allowed
01922 Anesthesia for x-ray or radiation therapy 16 15 $111
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 13 13 $86
00790 Anesthesia for other procedure on upper abdomen 11 11 $150

In context: peer comparison

Among 1 peers in this city , average services per provider: 13. This provider delivers 3.1× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$49
Transactions
3
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Merck Sharp & Dohme LLC 2 $32.04
Draeger Medical Systems, Inc 1 $17.29

By nature of payment

Food and Beverage
$49

Frequently asked questions

Auto-generated from federal data
What is Dr. Jordan Bloom's medical specialty?
Dr. Jordan Bloom practices Certified Registered Nurse Anesthetist in Forest Lake, MN.
Where does Dr. Jordan Bloom practice?
Dr. Jordan Bloom practices at 6362 207Th St N, Forest Lake, MN 550258022. Office phone: 7637770925.
What is Dr. Jordan Bloom's NPI?
Dr. Jordan Bloom's National Provider Identifier (NPI) is 1851996581, issued by NPPES.
Does Dr. Jordan Bloom accept Medicare assignment?
Yes. Dr. Jordan Bloom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jordan Bloom commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for x-ray or radiation therapy (HCPCS 01922); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on upper abdomen (HCPCS 00790). Source: CMS Medicare Physician & Other Practitioners file.