Jared Wayne Lee, RN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R171578-9 Issued in MN

Practice address

400 E 3Rd St
Duluth, MN 55805-1951

Phone

(218) 786-4459

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coronado Anesthesia PLLCGroup PAC ID 4880814755, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coronado Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1336569581

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Dec Anesthesia LLC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1093006520
  Medicare reassignment NPD
• Northeastern Anesthesia PLLC

  • Anesthesiology Physician
  • Sierra Vista, AZ
  • NPI 1487956504

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sunset Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1841561347

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• United Hospital District Inc.

  • Rural Health Clinic/Center
  • Fairmont, MN
  • NPI 1144984766
  NPD (past)
• United Hospital District Inc.

  • Critical Access Hospital
  • Blue Earth, MN
  • NPI 1952307688
  NPD (past)
• East Valley Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1164414447
  NPD (past)
• Mesa Az Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1770557233
  NPD (past)
• Regional Care Physicians Grooup

  • Family Medicine Physician
  • Casa Grande, AZ
  • NPI 1720236912
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124066972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JARED",
        "middle_name": "WAYNE",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R171578-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44350700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Kaye Leavelle, PT
• Elizabeth Jane Lebens
• Michelle Leblanc, MA-CCC-SLP
• Bobby L Leduff II, PHARMD
• David G. Lee, MA, LP, LMFT, LICSW
• Kristen Sue Lee, DPT
• Lindsey Marie Lee, LICSW
• Mona Marie Lee, PTA
• Taylor Lee Leege
• Robert Dana Leff

• Certified Registered Nurse Anesthetist in Duluth, MN
• Providers in Duluth, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.