Active NPI
Jerry Durfee, CRNA
- Certified Registered Nurse Anesthetist
- Montevideo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R142499-9
- Practice address
- 824 N 11TH St
Montevideo, MN 56265-1629 - Phone
- (952) 442-9770
- NPI assigned
- Jul 26, 2007
- Last updated
- Apr 28, 2008
- Sex
- Male
- 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 | R142499-9 | MN | Primary |
Addresses
Primary practice location
824 N 11TH St
Montevideo, MN 56265-1629
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R142499-9 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Tyler | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Granite Falls | Current | Accepting new patients | |
| Avera Tyler | Current | Accepting new patients |
Locations
345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
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 Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
dba Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
-
dba Avera Medical Group Granite Falls
- Family Medicine Physician
- Granite Falls, MN
- NPI 1700429644
-
dba Sanford Canby Medical Center
- Critical Access Hospital
- Canby, MN
- NPI 1780781054
-
dba Avera Medical Group Medical Oncology Marshall
- Oncology Clinic/Center
- Marshall, MN
- NPI 1437551785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1104016153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 N 11TH ST",
"city": "MONTEVIDEO",
"state": "MN",
"postal_code": "562651629",
"telephone_number": "952-442-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURFEE",
"first_name": "JERRY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R142499-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montevideo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.