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

Jordan Grosdidier

Individual provider Physician Assistant · NPI 1144921206

Jordan Grosdidier is a Physician Assistant in Orange City, Iowa. Qualified in 2024, 2 years ago. Practices with Avera Queen of Peace, a 115-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023

Practice location Address checks out

101 7th St SW
Orange City, IA 51041-1923
Phone: (712) 707-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1144921206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing addressPo Box 9, Alton, IA 51003-0009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Avera Queen Of Peace — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Orange City