Jerry Durfee, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Montevideo, MN
NPI 1104016153 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1104016153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R142499-9 (MN)
- Practice address
- 824 N 11TH St
Montevideo, MN 56265-1629 - Phone
- (952) 442-9770
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera Marshall
Practice addresses (Care Compare)
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9165
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060420000246 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4183648819 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 Marshall | Current |
Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients | |
| Avera Tyler | Current |
Accepting new patients | |
| Avera Tyler | Current |
Accepting new patients | |
| Avera Granite Falls | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R142499-9 | MN | Yes |
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
NPI Registry JSON
{
"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
- Lana Jane Dirksen
- Discover Your Sisu Therapy Services, LLC
- Tracy Lynn Dove
- Jennifer Drogosch-Garberich
- Karley Duenwald
- Natasha Marie Eichorn
- Jered Robert Field
- Fischer Laser Eye Center LLC
- Thomas A Fischer
- Katherine Suzanne Fitzkappes
All providers in Montevideo, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.