Active NPI
Jenna Smith
- Certified Registered Nurse Anesthetist
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 115213
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-4031
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 115213 | MN | Primary |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
573 36TH Ave NW
Rochester, MN 55901-7583
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsmith90776@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170426000520 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9830476076 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota RegionRiver'S Edge Hospital and Clinic
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone 5079312200605
Hospital & facility affiliations
- Mayo Clinic Health System - Mankato
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115213 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mankato Surgical Center, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| River'S Edge Hospital & Clinic | Current | Accepting new patients | |
| Madelia Health | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients |
Locations
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255
1411 Premier Dr
Mankato, MN 56001
Phone (507) 388-6000
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
Interoperability endpoints
- jsmith90776@ehrdirect.mayoclinicmsg.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
MN
-
- Ambulatory Surgical Clinic/Center
- Mankato, MN
- NPI 1720161615
MN, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- Medicare Defined Swing Bed Hospital Unit
- New Prague, MN
- NPI 1487707832
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Medicare Defined Swing Bed Hospital Unit
- Waseca, MN
- NPI 1942277769
-
- Critical Access Hospital
- St Peter, MN
- NPI 1568447027
-
- Critical Access Hospital
- Madelia, MN
- NPI 1639243272
-
- Multi-Specialty Clinic/Center
- Waseca, MN
- NPI 1518494251
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1033650239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 36TH AVE NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559017583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-625-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "115213",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsmith90776@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1025 Marsh St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560014752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.