Active NPI
Matthew Jewett, CRNA
- Certified Registered Nurse Anesthetist
- Fairmont, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 252
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (507) 238-8100
- NPI assigned
- Apr 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 252 | MN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R 211725-0 | MN |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (507) 238-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sioux Center Health
Practice addresses (Care Compare)
1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 722-1271
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252 | MN | MD | Certified Registered Nurse Anesthetist |
| R 211725-0 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux Center Health | Current | Accepting new patients | |
| Sioux Center Health | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Sioux Center Health | Current | Accepting new patients | |
| Mayo Clinic Health System-St James | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients |
Locations
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
-
- Emergency Medicine Physician
- Le Mars, IA
- NPI 1578625653
-
- Critical Access Hospital
- Sioux Center, IA
- NPI 1326056755
-
- Critical Access Hospital
- Sioux Center, IA
- NPI 1669542981
-
- Community/Retail Pharmacy
- Le Mars, IA
- NPI 1710765433
-
- Family Medicine Physician
- Hawarden, IA
- NPI 1225507510
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sioux Center, IA
- NPI 1326056755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1174866446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWETT",
"first_name": "MATTHEW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "252",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 211725-0",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.