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

Joseph John Gordon, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104103027

Joseph John Gordon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Edina, Minnesota. Qualified in 2011, 15 years ago. Practices with Park Nicollet Methodist Hospital, a 112-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
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

6401 France Ave S
Edina, MN 55435-2104
Phone: (952) 924-5000
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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 88977 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R 181776-8 (MN)

Record details

NPI number1104103027
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 6, 2011
Last updated in NPPESApril 27, 2012

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Park Nicollet Methodist Hospital — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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