James Alan Mach Jr.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

116704 Issued in MN

Practice address

4572 County Road 61
Moose Lake, MN 55767-9401

Phone

(218) 485-4481

NPI assigned

Aug 30, 2017

Last updated

Mar 7, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Family Health Clinic, LTD.Group PAC ID 6305758657, 17 clinicians

Northern Lakes Surgery Center LLCGroup PAC ID 1850757311, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDGJBA
• Direct secure messaging: james.mach.machja@nls.direct.slhduluth.com

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.

• Gateway Family Health Clinic, LTD.

  • Clinic/Center
  • Cromwell, MN
  • NPI 1891748042
  Medicare reassignment Care Compare group NPD
• Community Memorial Hospital Association

  • Critical Access Hospital
  • Cloquet, MN
  • NPI 1003869082
  Medicare reassignment NPD
• Essentia Health Moose Lake

  • Critical Access Hospital
  • Moose Lake, MN
  • NPI 1154959880
  Medicare reassignment NPD
• Northern Lakes Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Moose Lake, MN
  • NPI 1649922485
  Medicare reassignment NPD
• Northern Lakes Surgery Center LLC

  • Anesthesiology Physician
  • Moose Lake, MN
  • NPI 1942914049
  Medicare reassignment NPD
• St. Luke's Hospital of Duluth

  dba Aspirus St Lukes Hospital Inpatient Rehab

  • Rehabilitation Hospital Unit
  • Duluth, MN
  • NPI 1902845068
  Medicare reassignment NPD
• Essentia Health Moose Lake

  dba Essentia Health Moose Lake Clinic

  • Critical Access Hospital Clinic/Center
  • Moose Lake, MN
  • NPI 1275102048
  NPD
• Gateway Family Health Clinic, LTD.

  • Rural Health Clinic/Center
  • Sandstone, MN
  • NPI 1790772259

  Nurse Anesthetist, Certified Registered

  NPD
• St. Luke's Hospital of Duluth

  dba Aspirus Palliative Medicine - Minnesota

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Duluth, MN
  • NPI 1073480968
  NPD
• St. Luke's Hospital of Duluth

  dba Aspirus St Lukes Superior Clinic

  • Family Medicine Physician
  • Superior, WI
  • NPI 1528010667
  NPD
• Gateway Family Health Clinic, LTD.

  • Family Medicine Physician
  • Moose Lake, MN
  • NPI 1356344451

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1245758234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40668 LAKELAND RD",
            "city": "STURGEON LAKE",
            "state": "MN",
            "postal_code": "557833868",
            "telephone_number": "218-251-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 COUNTY ROAD 61",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679401",
            "telephone_number": "218-485-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACH",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "116704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Raymond Larson, APRN, CNP
• Samantha Luci Leonard-Ndomb, M.D.
• Rebecca Lou Lief-Kuster, SLP
• Allyson Loupe, PT
• Elizabeth Luoma, SLP
• Kathleen Marie Madden, RPH
• Amanda R Manley, LMFT
• Faith A. Manty, APRN, CNP
• Marie Jean McCabe, DPT
• Katherine McDowell

• Certified Registered Nurse Anesthetist in Moose Lake, MN
• Providers in Moose Lake, 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 Mar 7, 2019; 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.