Active NPI
Jason Chigoro Lee Mabee
- Certified Registered Nurse Anesthetist
- Olivia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1308
- 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, 2020
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915815906 | Medicaid | MO |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1308 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Health | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Family Surgery Center, LLC | Current | Accepting new patients | |
| Hutchinson Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Family Surgery Center, LLC | Current | 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
- 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.
-
dba Hutchinson Health Hospital
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- Ambulatory Surgical Clinic/Center
- Willmar, MN
- NPI 1831200120
-
dba Olivia Hospital & Clinic
- Critical Access Hospital Clinic/Center
- Olivia, MN
- NPI 1649470782
-
- Anesthesiology Physician
- Willmar, MN
- NPI 1962583369
-
dba Hutchinson Health Anesthesia
- Certified Registered Nurse Anesthetist
- Hutchinson, MN
- NPI 1841489606
Nurse Anesthetist, Certified Registered
-
dba Professional Anesthetic Care
- Anesthesiology Physician
- Liberty, MO
- NPI 1922053461
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.