Individual ProviderJordan RohrichNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address801 Broadway N, Fargo, ND 58122-2128(701) 234-2000(701) 527-4855PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Rohrich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1316330350Provider TypeIndividualFull NameRohrich, JordanCredentialCRNAGenderMaleSole ProprietorYesEnumeration Date3/16/2015Last Updated12/19/2022Contact InformationPractice LocationPractice Address801 Broadway N, Fargo, ND 58122-2128Phone(701) 234-2000FaxUnlisted FaxMailing LocationMailing Address1218 Commander Dr W, West Fargo, ND 58078-8454Phone(701) 527-4855FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR35279North DakotaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense79413NebraskaCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense101295Nebraska