Individual provider Active NPI

James Oliver Cody

  • Certified Registered Nurse Anesthetist
  • Manchester, IA
National Provider Identifier
1033834569
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D172514 Issued in IA
Practice address
712 W Main St
Manchester, IA 52057-1525
Phone
(563) 822-1435
NPI assigned
Oct 6, 2022
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D172514 IA Primary
Registered Nurse 163W00000X 218705-7 MN

Addresses

Primary practice location

712 W Main St
Manchester, IA 52057-1525

Mailing address

2274 185TH Ave
Manchester, IA 52057-8628
Phone (612) 968-8353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230126002224 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810368024 Reassigns benefits to 5 organizations
I20250311001102 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810368024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

303 Catlin St
Buffalo, MN 55313-1947
Phone (763) 427-9980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3088MNMDMarriage & Family Therapist
218705-7MNMDRegistered Nurse
D172514IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Feb 14, 2023 Accepting new patients
Sumner Community Club Current Accepting new patients
Palmer Lutheran Health Center, Inc. Current Accepting new patients
Allina Health System Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2025 Accepting new patients
Delaware County Memorial Hospital CurrentSince Feb 14, 2023 Accepting new patients
Sumner Community Club Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2023 Accepting new patients
Sumner Community Club Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2023 Accepting new patients
Allina Health System CurrentSince Mar 5, 2025 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients

Locations

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Interoperability endpoints

  • Direct secure messaging: jcody891556@direct.emplifyhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1033834569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 185TH AVE",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578628",
            "telephone_number": "612-968-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571525",
            "telephone_number": "563-822-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "JAMES",
        "middle_name": "OLIVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-06-29",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D172514",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "218705-7",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.

Verify at the official NPI Registry.