Active NPI
Jodee L Blaze, CRNA
- Certified Registered Nurse Anesthetist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R34791
- Practice address
- 737 Broadway N
Fargo, ND 58102-4421 - Phone
- (701) 234-6258
- NPI assigned
- Feb 24, 2009
- Last updated
- Feb 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R 152598-2 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | R34791 | ND | Primary |
Addresses
Primary practice location
737 Broadway N
Fargo, ND 58102-4421
Mailing address
737 Broadway N
Fargo, ND 58102-4421
Phone (701) 234-6258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093955593 | Medicaid | MN | |
| P00733656 | Other | MN | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, SD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Charity Association
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111
2422 20TH St SW
Jamestown, ND 58401-6201
Phone (701) 252-1050
2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Phone (605) 626-4200
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 152598-2 | MN | MD | Certified Registered Nurse Anesthetist |
| R34791 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Lutheran Charity Association | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lutheran Charity Association | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients |
Locations
2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050
2905 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 226-5500
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Organizations & group practices 8
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.
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba Sanford Care Center Vermillion
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
dba Jamestown Regional Medical Center
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
-
dba Jamestown Regional Medical Center Physician Group
- Emergency Medicine Physician
- Jamestown, ND
- NPI 1821044652
-
dba Jamestown Regional Medical Center CRNA
- Certified Registered Nurse Anesthetist
- Jamestown, ND
- NPI 1407957277
Nurse Anesthetist, Certified Registered
-
dba Jamestown Regional Medical Center Radiology
- Diagnostic Radiology Physician
- Jamestown, ND
- NPI 1700038981
-
dba Sanford Clinic Vermillion
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
-
dba Sanford Aberdeen Cardiology
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1639423957
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jamestown Regional Medical Center
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1093955593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024421",
"telephone_number": "701-234-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024421",
"telephone_number": "701-234-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZE",
"first_name": "JODEE",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 152598-2",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R34791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093955593",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00733656",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.