Individual provider Active NPI

Jason Chigoro Lee Mabee

  • Certified Registered Nurse Anesthetist
  • Olivia, MN
National Provider Identifier
1114000759
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1308 Issued in MN
Practice address
100 Healthy Way
Olivia, MN 56277-1117
Phone
(320) 523-1261
Fax
(320) 523-8349
NPI assigned
Oct 24, 2006
Last updated
Mar 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1308 MN Primary

Addresses

Primary practice location

100 Healthy Way
Olivia, MN 56277-1117

Mailing address

1022 Trevino Road
Clinton, MO 64735
Phone (660) 885-5058

Other identifiers 1

IdentifierTypeStateIssuer
915815906MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000821 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365458569 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians

Practice addresses (Care Compare)

1095 Hwy 15 S
Hutchinson, MN 55350-5000
Phone (320) 234-5000

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
89.75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1308MNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health Current Accepting new patients
Healthpartners RC CurrentSince Dec 23, 2025 Accepting new patients
Healthpartners RC CurrentSince Dec 23, 2025 Accepting new patients
Family Surgery Center, LLC Current Accepting new patients
Hutchinson Health Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Family Surgery Center, LLC CurrentSince Nov 1, 2018 Accepting new patients
Professional Anesthetic Care Inc Past Accepting new patients

Locations

1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

Interoperability endpoints

  • Direct secure messaging: jmabee386816@direct.centracare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1114000759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 TREVINO ROAD",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-885-5058",
            "fax_number": "660-885-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771117",
            "telephone_number": "320-523-1261",
            "fax_number": "320-523-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABEE",
        "first_name": "JASON",
        "middle_name": "CHIGORO LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915815906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.