Jade Ryan Tinklenberg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2831 Issued in MN

Practice address

1018 6TH Ave
Worthington, MN 56187-2202

Phone

(605) 312-6595

NPI assigned

Aug 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, MN, SD, IA4 enrollments

Enrollment records 4

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022

Medicare enrollment (NPD)

Enrolled

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.

• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875
  Medicare reassignment Care Compare group NPD
• City of Brookings

  dba Brookings Health System

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029
  Medicare reassignment NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• MHC Anesthesia Services

  • Anesthesiology Physician
  • Sioux City, IA
  • NPI 1639244270
  Medicare reassignment NPD
• Northwest Iowa Hospital Corporation

  dba St. Luke's Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Care Center Vermillion

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280
  Medicare reassignment NPD
• St Benedict Health Center

  dba Avera St. Benedict Health Center

  • Critical Access Hospital
  • Parkston, SD
  • NPI 1356443725
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Worthington Medical Center

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1396712618
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• City of Brookings

  dba Avera Medical Group a Department of Brookings Health System

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

  dba Brookings Health System Arlington Medical Center

  • Rural Health Clinic/Center
  • Arlington, SD
  • NPI 1902123581
  NPD
• City of Brookings

  dba Brookings Health System White Clinic

  • Rural Health Clinic/Center
  • White, SD
  • NPI 1912279829
  NPD

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

• Sanford Health Network

  dba Sanford Worthington Medical Center

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1396712618
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Health Adrian Clinic

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1679859912
  Care Compare affiliation

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1265108369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 S VINEYARD AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 6TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872202",
            "telephone_number": "605-312-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084973",
            "country_code": "US",
            "telephone_number": "602-344-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 5th St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011326",
            "country_code": "US",
            "telephone_number": "712-279-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINKLENBERG",
        "first_name": "JADE",
        "middle_name": "RYAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "228052",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D176196",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR001128",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "2831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna L Tate, CNM
• Alexis Taylor
• Donna R Thaemlitz, PT
• The Sanctuary Services, LLC (The Sanctuary Counseling Services)
• Stephanie Lynn Thier, O.D.
• Keith A Towne, MD
• Ross M Tucker, MD
• Jason Coy Turner, RPH
• Valerie Marie Vadnais, DMD
• Troy A Van Orman, PT

• Certified Registered Nurse Anesthetist in Worthington, MN
• Providers in Worthington, 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 Dec 28, 2023; 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.