Active NPI
Jon C Weber, CRNA
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R030913-0600
- 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, 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460224743-48 | Medicaid | NE | |
| 4994704 | Other | SD | SD BLUE CROSS PROV # |
| 5754754 | Medicaid | SD | |
| 5754750 | Medicaid | SD | |
| 307G8WE | Other | MN | MN BLUE CROSS PROV # |
| RO30913 | Other | SD | DAKOTACARE PROV # |
| 0714709 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R030913-0600 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| Avera St Marys | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Swift County Benson Hospital | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| Huron Regional Medical Center, Inc | Current | Accepting new patients | |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients | |
| Pipestone County Medical Center | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Avera McKennan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Center for Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Avera St Marys | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| Sacred Heart Health Services | Nurse Anesthetist, Certified Registered | Current | 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
- 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.
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Sanford Care Center Vermillion
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- Critical Access Hospital
- Huron, SD
- NPI 1154312429
-
dba Sanford Watertown Specialty Clinic
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1720166002
-
dba Avera Sacred Heart Hospital
- Emergency Care Clinic/Center
- Yankton, SD
- NPI 1861611683
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Certified Registered Nurse Anesthetist
- Fairmont, MN
- NPI 1639696206
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Benson, MN
- NPI 1326757154
-
- Critical Access Hospital
- Pipestone, MN
- NPI 1447300587
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Medical Group Urogynecology Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1003188269
Hospital
-
dba Avera Medical Group Rheumatology Sioux Falls
- Rheumatology Physician
- Sioux Falls, SD
- NPI 1013177393
Hospital
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
Hospital
-
dba Avera Medical Group Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Sioux Falls, SD
- NPI 1093262131
Hospital
-
dba Avera Medical Group Brain and Spine Institute
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1114113693
Hospital
-
dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls
- Physical Medicine & Rehabilitation Physician
- Sioux Falls, SD
- NPI 1134195332
Hospital
-
dba Avera McKennan Hospital and University Health Center - Diabetic Ed
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
dba Avera Gastroenterology Sioux Falls
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1194799882
Hospital
-
dba Avera Medical Group Womens Health Specialists Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1336111962
Hospital
-
dba Avera Medical Group
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1376575514
Hospital
-
dba Avera Endocrinology and Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
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.