Jennifer A Mendel, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CR000697 Issued in SD

Practice address

1305 W 18TH St
Sioux Falls, SD 57105-0401

Phone

(605) 333-1000

NPI assigned

Apr 9, 2008

Last updated

Jul 31, 2008By the provider in NPPES

Sex

Female

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

Other names 1

• Jennifer A Brodersen Other name

Medicare fee-for-service enrollment

Enrolled in SD, MN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brookings Health System Hospital, Brookings, SD, CCN 430008
• Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005

Medicare enrollment (NPD)

Enrolled

Credentials

Certified 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie Lakes Health Care System Inc

  dba Sanford Watertown Specialty Clinic

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1720166002
  Medicare reassignment Care Compare group NPD
• City of Brookings

  dba Brookings Health System

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029
  Medicare reassignment Care Compare group
• Sacred Heart Health Services

  dba Avera Sacred Heart Hospital

  • Emergency Care Clinic/Center
  • Yankton, SD
  • NPI 1861611683
  Medicare reassignment NPD
• TTB Services Prof LLC

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
  • NPI 1962743492

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• City of Brookings

  dba Avera Medical Group a Department of Brookings Health System

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1134558158
  NPD
• Prairie Lakes Health Care System Inc

  dba Sanford Health Castlewood Clinic

  • Family Medicine Physician
  • Castlewood, SD
  • NPI 1578369070
  NPD
• Sacred Heart Health Services

  • General Practice Physician
  • Yankton, SD
  • NPI 1205703659
  NPD
• Sacred Heart Health Services

  dba Avera Sacred Heart Hospital

  • Certified Registered Nurse Anesthetist
  • Yankton, SD
  • NPI 1770702599

  Nurse Anesthetist, Certified Registered

  NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD
• Avera Marshall

  dba Avera Medical Group Behavioral Health Services

  • Psychiatry Physician
  • Marshall, MN
  • NPI 1528293172
  NPD

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

• City of Brookings

  dba Avera Medical Group a Department of Brookings Health System

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1134558158

  Hospital

  Care Compare affiliation
• City of Brookings

  dba Brookings Health System

  • General Acute Care Hospital
  • Brookings, SD
  • NPI 1275515579
  Care Compare affiliation
• City of Brookings

  dba Brookings Health System

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029

  Hospital

  Care Compare affiliation
• City of Brookings

  dba Avera Medical Group Specialty Care Brookings a Department of Brookings

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1982057246

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1225201361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050401",
            "telephone_number": "605-333-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEL",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5754730",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRODERSEN",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grayden Thomas Melick
• Shane Stephen Meltz
• Rose Melvin, CNM
• Alyssa Sommer Mendel, LPC
• Dominique Marie Mendel
• Aarika Menees, MD
• Michelle Lea Menke, M.A. CCC-SLP
• Sarah Marie Menking, APRN
• Kozhikode Veetil Narayanan Menon, M.D., M.B., B.S.
• Emily Mensen

• Certified Registered Nurse Anesthetist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.