Individual provider Active NPI

Jon C Weber, CRNA

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
National Provider Identifier
1114939345
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R030913-0600 Issued in SD
Practice address
800 E 21St St
Sioux Falls, SD 57105-1016
Phone
(605) 322-2754
Fax
(605) 322-2727
NPI assigned
Aug 13, 2006
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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 R030913-0600 SD Primary

Addresses

Primary practice location

800 E 21St St
Sioux Falls, SD 57105-1016

Mailing address

800 E 21St St
Sioux Falls, SD 57105-1016
Phone (605) 322-2754

Other identifiers 7

IdentifierTypeStateIssuer
460224743-48MedicaidNE
4994704OtherSDSD BLUE CROSS PROV #
5754754MedicaidSD
5754750MedicaidSD
307G8WEOtherMNMN BLUE CROSS PROV #
RO30913OtherSDDAKOTACARE PROV #
0714709MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050329001240 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991751224 Reassigns benefits to 7 organizations
I20080104000554 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991751224 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Avera St MarysGroup PAC ID 0143134965, 97 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Phone (605) 626-4200

717 S State St
Suite 1000
Fairmont, MN 56031-4479
Phone (507) 238-4949

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901

909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R030913-0600SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Centracare Health - Benson LLC CurrentSince Jul 1, 2025 Accepting new patients
Avera St Marys Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2018 Accepting new patients
Pipestone County Medical Center CurrentSince May 1, 2023 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Aug 21, 2015 Accepting new patients
Swift County Benson Hospital Current Accepting new patients
Sacred Heart Health Services CurrentSince Oct 6, 2018 Accepting new patients
Centracare Health - Benson LLC CurrentSince Jul 1, 2025 Accepting new patients
Huron Regional Medical Center, Inc CurrentSince Aug 21, 2015 Accepting new patients
Pipestone County Medical Center CurrentSince May 1, 2023 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Pipestone County Medical Center Current Accepting new patients
CCM Health CurrentSince Sep 26, 2018 Accepting new patients
Avera Marshall CurrentSince Jan 6, 2018 Accepting new patients
Avera Marshall CurrentSince Jan 6, 2018 Accepting new patients
Avera Marshall Current Accepting new patients
Sanford Health Network CurrentSince Dec 1, 2015 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2004 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Jul 2, 2018 Accepting new patients
Sanford Health Network CurrentSince Dec 1, 2015 Accepting new patients
Center for Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince May 7, 2018 Accepting new patients
Avera St Marys CurrentSince Jul 23, 2018 Accepting new patients
Avera McKennan Current Accepting new patients
CCM Health CurrentSince Sep 26, 2018 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Jul 2, 2018 Accepting new patients
Sacred Heart Health Services Nurse Anesthetist, Certified Registered CurrentSince Oct 6, 2018 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Midwest Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lewis and Clark Anesthesia, Prof. LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

717 S State St
Ste 100
Fairmont, MN 56031
Phone (507) 235-3939

717 S State St
Ste 1000
Fairmont, MN 56031
Phone (507) 235-3939

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

400 10th St E
Waconia, MN 55387

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

2905 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 226-5500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

800 E 21st St
Sioux Falls, SD 57105
Phone (605) 322-2754

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

2601 Fox Run Pkwy
Yankton, SD 57078
Phone (605) 260-0918

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • Direct secure messaging: jweber190545@direct.centracare.com

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1114939345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 21ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051016",
            "telephone_number": "605-322-2754",
            "fax_number": "605-322-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 21ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051016",
            "telephone_number": "605-322-2754",
            "fax_number": "605-322-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JON",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R030913-0600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460224743-48",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE CROSS PROV #",
            "identifier": "4994704",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5754754",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5754750",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE CROSS PROV #",
            "identifier": "307G8WE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE PROV #",
            "identifier": "RO30913",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714709",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.