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

Jordan Boss

Individual provider Registered Nurse · NPI 1841929569

Jordan Boss is a Certified Registered Nurse Anesthetist (CRNA) in Millbury, Ohio. Qualified in 2022, 4 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
3

Practice location Address checks out

23251 W Moline Martin Rd
Millbury, OH 43447-9522
Phone: (419) 265-1813
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 143781 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 432068 (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0020600 (OH)

Record details

NPI number1841929569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount