Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan D Blackwill, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1992191225

Jordan D Blackwill, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Omaha, Nebraska. Qualified in 2015, 11 years ago. Practices with Stewart Memorial Community Hospital, a 36-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
11
Licensed in
IA, NE
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6901 N 72nd St
Omaha, NE 68122-1709
Phone: (402) 572-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 68419 (NE)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence D139751 (IA)

Record details

NPI number1992191225
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 14, 2015
Last updated in NPPESApril 14, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Stewart Memorial Community Hospital — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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