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

Jordan L Pickering

Individual provider Certified Registered Nurse Anesthetist · NPI 1770152092

Jordan L Pickering is a Certified Registered Nurse Anesthetist (CRNA) in Plymouth, Minnesota. Qualified in 2021, 5 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (763) 559-3779
Fax: (763) 450-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 640 Jackson St, Saint Paul, MN 55101-2502 — (651) 254-6512

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2618 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R234444-7 (MN)

Record details

NPI number1770152092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESDecember 31, 2024
Certification dateDecember 30, 2024
Mailing addressPo Box 47159, Plymouth, MN 55447-0159

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Plymouth