Individual provider Active NPI

Jared Onder, CRNA

  • Certified Registered Nurse Anesthetist
  • Grand Rapids, MN
National Provider Identifier
1316482953
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
242414-7 Issued in MN
Practice address
613 NW 1St Ave Unit 112a
Grand Rapids, MN 55744-2765
Phone
(218) 910-8078
NPI assigned
Jan 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 242414-7 MN Primary

Addresses

Primary practice location

613 NW 1St Ave Unit 112a
Grand Rapids, MN 55744-2765

Mailing address

613 NW 1St Ave Unit 112a
Grand Rapids, MN 55744-2765
Phone (218) 910-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180925003454 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012292063 Reassigns benefits to 1 organization
I20210512002440 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012292063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians

Practice addresses (Care Compare)

20 Hartford St
Houlton, ME 04730-1891
Phone (207) 532-2900

Hospital & facility affiliations

  • Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2034MNMDMental Health Counselor
242414-7MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince May 1, 2021 Accepting new patients
Houlton Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Aug 8, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Houlton Regional Hospital CurrentSince May 1, 2021 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Aug 8, 2018 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1316482953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 NW 1ST AVE UNIT 112A",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442765",
            "telephone_number": "218-910-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 NW 1ST AVE UNIT 112A",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442765",
            "telephone_number": "218-910-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDER",
        "first_name": "JARED",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "242414-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.